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Study sets matching "workers compensation"

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Study sets matching "workers compensation"

41 terms
Workers' Compensation
When calculating premiums for a worker…
Which one of the following is NOT a be…
State workers compensation insurance c…
Premiums for workers' compensation pol…
b
d
b
c
When calculating premiums for a worker…
b
Which one of the following is NOT a be…
d
11 terms
Workers Compensation
What is workers compensation?
Explain Assumption of Risk
Explain Contributory Negligence
Explain Fellow Servant Rule:
laws give employees the right to collect from their employers…
allowed the employer to deny liability on the basis that the…
was used to deny liability on the basis that no matter how ne…
was used to deny liability on the basis that the injury was c…
What is workers compensation?
laws give employees the right to collect from their employers…
Explain Assumption of Risk
allowed the employer to deny liability on the basis that the…
26 terms
Workers Compensation
Three common law defenses that used to…
No fault concept
Two types of workers comp laws
Workers exempt from worker's compensat…
Contributory negligence, assumption of risk, and fellow serva…
Workers gave up right to sue; employers agreed to provide com…
Compulsory and elective
Domestic servants, short-term laborers, seasonal farm workers…
Three common law defenses that used to…
Contributory negligence, assumption of risk, and fellow serva…
No fault concept
Workers gave up right to sue; employers agreed to provide com…
12 terms
Workers Compensation
Compulsory Workers Compensation
Elective Workers Compensation
Monopolistic Workers Comp
Competitive Workers Comp
this law requires employers to provide benefits to their empl…
this law allows employers to choose whether to accept or reje…
insurance is only available through a state fund
insurance is available through private insurers and if availa…
Compulsory Workers Compensation
this law requires employers to provide benefits to their empl…
Elective Workers Compensation
this law allows employers to choose whether to accept or reje…
10 terms
Workers' Compensation
How to tell if it's a disability issue
Remember the Coverage formula! this is…
Disability
what must the employee show to establi…
the question will ask: is the person entitled to weekly wage…
An employee is entitled to weekly wage loss benefits if the e…
Disability is defined as a limitation of wage earning capacit…
Disability is not merely an inability to return to one's prev…
How to tell if it's a disability issue
the question will ask: is the person entitled to weekly wage…
Remember the Coverage formula! this is…
An employee is entitled to weekly wage loss benefits if the e…
13 terms
Workers Compensation
Workers Compensation Benefits
Covered Individuals (Worker's Compensa…
Excluded Individuals (Worker's Compens…
Injuries Definition and Liabilities (W…
(1)Medical care provided to ee at no cost; (2)tax-free replac…
All ees working in CA from the moment they are employed. Cove…
The following are not covered under worker's compensation: in…
Can be cumulative or specific; is job related when it arrises…
Workers Compensation Benefits
(1)Medical care provided to ee at no cost; (2)tax-free replac…
Covered Individuals (Worker's Compensa…
All ees working in CA from the moment they are employed. Cove…
12 terms
Workers Compensation
Accepted claim
Agreed medical evaluator (AME)
Alternative work
American Medical Association (AMA)
Reclamo aceptado
Evaluador médico acordado
Trabajo alternativo
Asociación Médica Estadounidense
Accepted claim
Reclamo aceptado
Agreed medical evaluator (AME)
Evaluador médico acordado
13 terms
Workers Compensation
Workers Compensation Benefits
Covered Individuals (Worker's Compensa…
Excluded Individuals (Worker's Compens…
Injuries Definition and Liabilities (W…
(1)Medical care provided to ee at no cost; (2)tax-free replac…
All ees working in CA from the moment they are employed. Cove…
The following are not covered under worker's compensation: in…
Can be cumulative or specific; is job related when it arrises…
Workers Compensation Benefits
(1)Medical care provided to ee at no cost; (2)tax-free replac…
Covered Individuals (Worker's Compensa…
All ees working in CA from the moment they are employed. Cove…
8 terms
workers compensation
the underlying of workers compensation
worker compensation no fault system
experienced modification rate (EMR)
pcrb unit statistical reporting for ex…
two aspects- ... 1. fairness to injured employees, especially th…
intended to be no fault approach to resolving workplace accid…
-assesses whether a company's claims are greater than or less…
-requires all workers compensation insurance providers to val…
the underlying of workers compensation
two aspects- ... 1. fairness to injured employees, especially th…
worker compensation no fault system
intended to be no fault approach to resolving workplace accid…
12 terms
Workers Compensation
Benefits of Workers Compensation
How Employers Comply with Law
Employee Options
Exclusive Remedy
Loss of income, medical bills, rehabilitation, lump-sum payme…
1. Purchase from authorized private insurer. 2. State compens…
Accept compensation or reject it and retain the right to sue…
Worker's remedies for work-related injuries limited to a work…
Benefits of Workers Compensation
Loss of income, medical bills, rehabilitation, lump-sum payme…
How Employers Comply with Law
1. Purchase from authorized private insurer. 2. State compens…
20 terms
Workers' Compensation
Licensed physician, osteopath, dentist…
A. Nondisability Claim: Person is inju…
work hardening
A. Temporary Disability B. Permanent D…
Who can treat an industrial injury?
Three types of workers' compensation claims and the differenc…
After suffering an industrial injury, Mr. Fields is in a trea…
TD, PD, P & S, C & R
Licensed physician, osteopath, dentist…
Who can treat an industrial injury?
A. Nondisability Claim: Person is inju…
Three types of workers' compensation claims and the differenc…
10 terms
Workers Compensation
Definition
Elements
A worker
Recognised form of injury
To provide compensation for people who have been injured at t…
Be a "worker"... suffer a recognised form of injury... be injured "…
WCRA s 11(1)... a) works under a contract... b) in relation to the…
WCRA s 32(1)... (a) for an injury other than a psychiatric or ps…
Definition
To provide compensation for people who have been injured at t…
Elements
Be a "worker"... suffer a recognised form of injury... be injured "…
20 terms
Workers Compensation
______________________ stated that the…
___________________ is when an employe…
__________________ is when an employer…
___________Requires qualified employer…
What is Assumption of Risksalary.
What is Monopolistic state funds
What is Competitive market
What is Compulsory laws
______________________ stated that the…
What is Assumption of Risksalary.
___________________ is when an employe…
What is Monopolistic state funds
24 terms
Workers Compensation
office of workers' compensation programs
Office of workers' compensation programs
Federal employees' compensation act
Federal employees' compensation act
OWCP stands for
administers programs to cover work related illnesses or injur…
FECA stands for..
law that provides workers' compensation insurance for civilia…
office of workers' compensation programs
OWCP stands for
Office of workers' compensation programs
administers programs to cover work related illnesses or injur…
8 terms
Workers Compensation
Absolute liability
Competitive state fund
Compulsory
Elective
One party is held liable for injury or damage to a third part…
Refers to states that operate a workers compensation fund in…
Refers to a state law that requires employers to accept and c…
Refers to state laws that do not require employers to be subj…
Absolute liability
One party is held liable for injury or damage to a third part…
Competitive state fund
Refers to states that operate a workers compensation fund in…
24 terms
Workers Compensation
office of workers' compensation programs
Office of workers' compensation programs
Federal employees' compensation act
Federal employees' compensation act
OWCP stands for
administers programs to cover work related illnesses or injur…
FECA stands for..
law that provides workers' compensation insurance for civilia…
office of workers' compensation programs
OWCP stands for
Office of workers' compensation programs
administers programs to cover work related illnesses or injur…
24 terms
Workers Compensation
office of workers' compensation programs
Office of workers' compensation programs
Federal employees' compensation act
Federal employees' compensation act
OWCP
administers programs to cover work related illnesses or injur…
FECA
law that provides workers' compensation insurance for civilia…
office of workers' compensation programs
OWCP
Office of workers' compensation programs
administers programs to cover work related illnesses or injur…
16 terms
Workers Compensation
Monopolistic state funds
Competitive market
Compulsory vs Elective laws
Exclusive remedy
In some states employers are required to purchase workers com…
In other states, workers compensation is purchased by employe…
Compulsory- require all employers, except those specifically…
injured employees are barred from seeking damages outside of…
Monopolistic state funds
In some states employers are required to purchase workers com…
Competitive market
In other states, workers compensation is purchased by employe…
12 terms
Workers Compensation
Workers Comp
Purpose
Exclusive Remedy
Volunteers
California is considered a compulsory state. Pays without reg…
To avoid litigation between employer and employee. Lessen cla…
Workers give up the right to sue the employer in exchange for…
Exempt but can be covered by an endorsement.
Workers Comp
California is considered a compulsory state. Pays without reg…
Purpose
To avoid litigation between employer and employee. Lessen cla…
10 terms
Workers Compensation
What is the primary objective of worke…
All of the following are true of the w…
Workers compensation insurance provide…
Workers compensation scheduled injury…
A. The primary purpose is the payment of benefits to employee…
A. It is the employer that pays the cost of workers compensat…
D. The workers compensation coverage does not apply to proper…
D. All of the responses are correct. These will vary by the v…
What is the primary objective of worke…
A. The primary purpose is the payment of benefits to employee…
All of the following are true of the w…
A. It is the employer that pays the cost of workers compensat…
8 terms
Workers compensation
Fellow servant rule
Contributory negligence
Assumption of risk
Monopolistic state funds
Negligence of a fellow employee, it was not considered the ne…
Partially responsible for the injury
Employee knew in advance the risks associated with the job
Employers are required to purchase workers compensation insur…
Fellow servant rule
Negligence of a fellow employee, it was not considered the ne…
Contributory negligence
Partially responsible for the injury
31 terms
Workers Compensation
When does an employer intentional tort…
When does an employer specifically int…
General Contractor Liability
When does MI have jurisdiction over an…
Exists only when an employee is injured as a result of:... 1) A…
When they had actual knowledge that the injury was certain to…
Liable for an injury to his subcontractor's employee if he co…
1) The injured employee is employed by an employer subject to…
When does an employer intentional tort…
Exists only when an employee is injured as a result of:... 1) A…
When does an employer specifically int…
When they had actual knowledge that the injury was certain to…
8 terms
Workers Compensation
General purpose
Can recover what...
Can't Recover
Independent Contractors covered?
Exclusive remedy against employer, guaranteed recovery
1) Medical expenses... 2) Lost wages (2/3)... 3) if fatal = statuto…
Pain and suffering... Punitive damages
NO
General purpose
Exclusive remedy against employer, guaranteed recovery
Can recover what...
1) Medical expenses... 2) Lost wages (2/3)... 3) if fatal = statuto…
40 terms
Workers Compensation
Workers Compensation
Workers Compensation laws
Employer's Responsibility
Common-law Duties of Employers
Employees injured at work loose their common-law rights to su…
in effect in all 50 states, including the district of Columbi…
legal responsibility to keep employees "reasonably" safe.... emp…
1. Provide a safe place to work... 2. Provide an adequate # of a…
Workers Compensation
Employees injured at work loose their common-law rights to su…
Workers Compensation laws
in effect in all 50 states, including the district of Columbi…
134 terms
Workers Compensation
Additional Hands
Action Over
Aggravated Inequity
ALAE
A contractors audit reflecting that an uninsured SUV dubbed t…
Third party suit against employers EL to recover damages from…
NCCI mandated rule allowing a special revision to correct MOD…
Allocated Loss Adjustment Expense
Additional Hands
A contractors audit reflecting that an uninsured SUV dubbed t…
Action Over
Third party suit against employers EL to recover damages from…
29 terms
Workers' Compensation
AME
ERISA
IMC
IME
Agreed Medical Evaluator
Employee Retirement Income Security Act
Industrial Medical Council
Independent Medical Evaluator
AME
Agreed Medical Evaluator
ERISA
Employee Retirement Income Security Act
46 terms
Workers' Compensation
Repetitive Trauma ... Section 42-1-172
Preexisting Condition ... Section 42-9-35…
Occupational Disease... Section 42-11-10…
Occupational Disease (Exclusions)... Sect…
An injury which is gradual in onset and caused by the cumulat…
(A) The employee shall establish by a preponderance of the ev…
(A) "Occupational disease" means a disease arising out of and…
(1) does not result directly and naturally from exposure in t…
Repetitive Trauma ... Section 42-1-172
An injury which is gradual in onset and caused by the cumulat…
Preexisting Condition ... Section 42-9-35…
(A) The employee shall establish by a preponderance of the ev…
50 terms
Workers' Compensation
-arche
-cele
-centesis
-cyst
beginning
hernia
surgical puncture
bladder
-arche
beginning
-cele
hernia
16 terms
Workers Compensation
Federal Black Lung Program
Jones Act(Merchant Marine Act)
1st report of injury
Federal Mine Safety and Health Adminis…
provides medical treatment and other benefits for respiratory…
not a worker's compensation statue ; it provides sea men with…
forms are completed by the provider when the patient first se…
helps to reduce deaths, injuries, and illness in the U.S. min…
Federal Black Lung Program
provides medical treatment and other benefits for respiratory…
Jones Act(Merchant Marine Act)
not a worker's compensation statue ; it provides sea men with…
11 terms
Workers Compensation
Employer liability insurance limitsvar…
Part 6 of workers compensation and emp…
Frank cannot work anymore what kinda o…
Employee covered under LHWCA must meet…
Information page
Conditions that apply to the policy
Total
Status
Employer liability insurance limitsvar…
Information page
Part 6 of workers compensation and emp…
Conditions that apply to the policy
22 terms
Workers Compensation
The workers compensation system provid…
Workers compensation also covers ___ o…
who determines workers compensation co…
locations for workers comp coverage
tax free
injuries, illnesses
the law and vary by state. ... workers' compensation benefits ar…
1. covers while at a fixed place of employment (on premise)... 2…
The workers compensation system provid…
tax free
Workers compensation also covers ___ o…
injuries, illnesses
32 terms
Workers Compensation
Workers Compensation is regulated by
Penalties for violations include
Misrepresentation to get benefits is a
Employment
department of financial services division of workers comp
$1000 plus $100 per day for noncompliance which is also a sec…
2nd degree felony
*Private - 4 or more employees... *Construction industry- 1 or m…
Workers Compensation is regulated by
department of financial services division of workers comp
Penalties for violations include
$1000 plus $100 per day for noncompliance which is also a sec…
62 terms
Workers' Compensation
WC
WC is purchased by the ______
Primary Coverage
Exclusive Remedy
Covers employee's medical bills and lost wages from work rela…
the employer
coverage that pays before other policies (WC is this)
keeps employee from suing employer for covered injuries (WC i…
WC
Covers employee's medical bills and lost wages from work rela…
WC is purchased by the ______
the employer
60 terms
Workers' Compensation
4 Reasons to Keep Records in a Hearing…
6 Characteristics of Good Records
Record Retention: OSHA Requirements (3)
Record Retention: Best Practice
1.) Required by law: Noise levels, audiometric records and ST…
1.) Legible... 2.) Accurate... 3.) Thorough... 4.) Organized... 5.) Consi…
Requires minimum periods for retaining records.... Keep noise me…
Keep records at least several years after employee separation…
4 Reasons to Keep Records in a Hearing…
1.) Required by law: Noise levels, audiometric records and ST…
6 Characteristics of Good Records
1.) Legible... 2.) Accurate... 3.) Thorough... 4.) Organized... 5.) Consi…
12 terms
Workers Compensation
Workers' Compensation Law - overview
Coverage of Workers' Comp - Persons Co…
Coverage of Workers' Comp - Persons Ex…
Casualties Covered by Workers' Comp
If an employee is injured on the job, and the employer has pr…
The following employees are entitled to [and thus limited to]…
The following are excluded from Workers' Comp:... 1) Teachers or…
Benefits are provided for the following casualties:... 1) Accide…
Workers' Compensation Law - overview
If an employee is injured on the job, and the employer has pr…
Coverage of Workers' Comp - Persons Co…
The following employees are entitled to [and thus limited to]…
42 terms
Workers' Compensation
how employees get hurt at work
what is workers' compensation
historically
move to worker protection (state courts)
- employer, employee, or co-worker is negligent (workers' com…
- insurance for on the job injuries... - employers required to c…
- injured employees had it tough... - respondeat superior (emplo…
- began to carve out exceptions to the common law... supervisors…
how employees get hurt at work
- employer, employee, or co-worker is negligent (workers' com…
what is workers' compensation
- insurance for on the job injuries... - employers required to c…
15 terms
Workers' Compensation
Workers' Compensation
Assumption of Risk
Contributory Negligence
Fellow Servant Rule
Laws that give employees the right to collect from their empl…
Allows the employer to deny liability on the basis that the e…
Used to deny liability on the basis that, no matter how negli…
Used to deny liability on the basis that the injury was cause…
Workers' Compensation
Laws that give employees the right to collect from their empl…
Assumption of Risk
Allows the employer to deny liability on the basis that the e…
12 terms
Workers' Compensation
OSHA
FECA
IME
SSDI
Occupational Safety and Health Administration
Federal Employee's Compensation Act
Independent Medical Examination
Social Security Disability Insurance
OSHA
Occupational Safety and Health Administration
FECA
Federal Employee's Compensation Act
20 terms
Workers' Compensation
Licensed physician, osteopath, dentist…
A. Nondisability Claim: Person is inju…
work hardening
A. Temporary Disability B. Permanent D…
Who can treat an industrial injury?
Three types of workers' compensation claims and the differenc…
After suffering an industrial injury, Mr. Fields is in a trea…
TD, PD, P & S, C & R
Licensed physician, osteopath, dentist…
Who can treat an industrial injury?
A. Nondisability Claim: Person is inju…
Three types of workers' compensation claims and the differenc…
30 terms
Workers Compensation
Part 1
Part 2
Dual capacity
Part 3
Statutory information... -state law
Employers liabiltiy... -liability under common law... -must be lega…
Employee injured on a product they manufacture
Other states. begin doing business in state mentioned in part…
Part 1
Statutory information... -state law
Part 2
Employers liabiltiy... -liability under common law... -must be lega…
35 terms
Workers Compensation
Workers compensation provides all of t…
Which of the following would eligible…
When do the benefits for medical benef…
An employer may purchase workers comp…
pain & suffering
one (1) part time employee
immediately
mutual insurance company... stock insurance company... compsource
Workers compensation provides all of t…
pain & suffering
Which of the following would eligible…
one (1) part time employee
39 terms
CASUALTY: WORKERS COMPENSATION
Workers' Compensation
Occupational Coverage
Premiums of WC are based on:
Rates of WC
No fault coverage, it is statutory, and usually optional for…
Covers job-related accidental injury and sickness.
Hazard of the occupation
$100 of annual payroll
Workers' Compensation
No fault coverage, it is statutory, and usually optional for…
Occupational Coverage
Covers job-related accidental injury and sickness.
18 terms
Workers' Compensation
Who is responsible for WC? admin by who?
WC role?
Meredith principles
Fed gov staff's WC: admin by who? reim…
- province... - provincial WC board/commission
- benefits to workers with work-related injuries/illness... - pr…
- employers of each industry pay compensation as whole... - work…
- admin by provincial WC where they worked... - fed gov reimburs…
Who is responsible for WC? admin by who?
- province... - provincial WC board/commission
WC role?
- benefits to workers with work-related injuries/illness... - pr…
20 terms
Workers' Compensation
Licensed physician, osteopath, dentist…
A. Nondisability Claim: Person is inju…
work hardening
A. Temporary Disability B. Permanent D…
Who can treat an industrial injury?
Three types of workers' compensation claims and the differenc…
After suffering an industrial injury, Mr. Fields is in a trea…
TD, PD, P & S, C & R
Licensed physician, osteopath, dentist…
Who can treat an industrial injury?
A. Nondisability Claim: Person is inju…
Three types of workers' compensation claims and the differenc…
13 terms
Workers Compensation
All of the following benefits are typi…
Which part of the Workers Compensation…
In most states, Workers Compensation l…
Which of the following injuries would…
C) loss of consortium.
A) Part One
D) to most workers except those specifically excluded by law.
A) A factory worker fractures her arm while working overtime…
All of the following benefits are typi…
C) loss of consortium.
Which part of the Workers Compensation…
A) Part One
12 terms
Workers' Compensation
Workers' Compensation
How are Benefits Paid?
Who is covered?
Job-related injuries resulting in:
a statutory plan for the compensation of employee injuries
Either through private insurance plans, or self-insurance, or…
Virtually everyone who falls within the definition of an "emp…
Need to be out atleast 7 days to qualify... Lost earnings due t…
Workers' Compensation
a statutory plan for the compensation of employee injuries
How are Benefits Paid?
Either through private insurance plans, or self-insurance, or…
22 terms
WOrkers Compensation
Which of the following acts covers inj…
Which of the following makes sure that…
Physicians who regularly charge for bi…
Brad was severely injured on the job a…
LHWCA
OWCP
creative billing fraud
Injury with permanent disability
Which of the following acts covers inj…
LHWCA
Which of the following makes sure that…
OWCP
21 terms
Workers Compensation / EL
Employers Liability
3 parts of the employers liability pol…
insurance in other state
WC include
protects the epmoloyer if the employee gets injured,in a situ…
Workers Comp, Employers Liab, Insurance in other states
provides benefits if a problem arises in a state other than a…
medical, rehab, death($3,500), loss of income( 2/3)
Employers Liability
protects the epmoloyer if the employee gets injured,in a situ…
3 parts of the employers liability pol…
Workers Comp, Employers Liab, Insurance in other states
10 terms
Workers Compensation Review Quiz
What is the primary objective of worke…
All of the following are true of the w…
Workers compensation insurance provide…
Workers compensation scheduled injury…
A. The primary purpose is the payment of benefits to employee…
A. It is the employer that pays the cost of workers compensat…
D. The workers compensation coverage does not apply to proper…
D. All of the responses are correct. These will vary by the v…
What is the primary objective of worke…
A. The primary purpose is the payment of benefits to employee…
All of the following are true of the w…
A. It is the employer that pays the cost of workers compensat…
20 terms
Worker Compensation
Hi Mr. Trujillo, my name is Judith I'm…
Thank you for calling me because the m…
I will gladly address that question bu…
I was painting on the second floor of…
Hola señor Trujillo, mi nombre es Judith yo soy una enfermera…
Gracias por llamarme porque el medicamento para el dolor que…
Con mucho gusto le voy a responder esa pregunta, pero vamos a…
Pintando en el segundo piso de una oficina, cuando me resbale…
Hi Mr. Trujillo, my name is Judith I'm…
Hola señor Trujillo, mi nombre es Judith yo soy una enfermera…
Thank you for calling me because the m…
Gracias por llamarme porque el medicamento para el dolor que…
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