which of the following costs are covered by workers compensation insurance? course hero

by Gregory Lubowitz 9 min read

What is workers compensation law?

A. a workers compensation law covered the injury

Who benefits from workers compensation?

A. the workers compensation system benefits both the insured employer and the employees

Does state workers compensation include rehabilitation?

D. Most state workers compensation acts do not address rehabilitation benefits

Who is entitled to review only history and treatment data pertaining to a patient's on-the-job injury?

State Compensation Boards/Commissions and insurance payers are entitled by law to review only history and treatment data pertaining to a patient's on-the-job injury.

What is a medical insurance claim?

claim that covers health care treatment for illness and injuries, as well as payment for lost wages.

What is the OWCP?

administered by the OWCP and provides workers' compensation coverage to all federal and postal workers throughout the world for employment-related injuries and occupational diseases. Benefits include wage replacement, payment for medical care, and, where necessary, medical and vocational rehabilitation assistance in returning to work.

Why are medical claims the easiest to process?

Medical treatment claims are the easiest to process because they are filed for minor illnesses or injuries that are treated by a health care provider. In these cases, the employee continues to work or returns to work within a few days.

Is railroad workers compensation a statute?

is not a workers' compensation statute; rather, this legislation, signed into law by President Roosevelt in 1908, provides railroad employees with protection from employer negligence and makes railroads engaged in interstate commerce liable for injuries to employees if the railroad was negligent.

Can employers purchase workers compensation insurance?

employers are permitted to purchase policies from commercial insurance companies that meet state mandates for workers' compensation coverage .

Do providers have to accept workers compensation?

Providers are required to accept the workers' compensation-allowable fee as payment in full for covered services rendered on cases involving on-the-job illnesses and injuries. An adjustment to the patient's account must be made if the amount charged for the treatment is greater than the approved reimbursement for the treatment.

Who is not covered by workers compensation?

Who is not covered by workers' compensation? Some categories of workers—such as self-employed workers, seasonal employees, domestic employees, agricultural employees, and independent contractors —are exempt from workers’ comp coverage in some states. For example, in New York, the following classes of workers are not covered by workers’ compensation:

What are exempt injuries from compensation?

Workplace injuries exempt from compensation may include: Injuries that occur because the worker was drunk or under the influence of illegal drugs. Injuries that are self-inflicted or due to a physical fight in the workplace. Injuries a worker sustains while committing a serious crime while on the clock. In general, most full-time employees are ...

Can you file a workers comp claim while working remotely?

However, compensation for employees who are injured while working remotely from home depends on the specific nature of the injury, the state the workplace is in, and the details of the company’s remote working policy. Depending on the state of employment, healthcare providers and first responders may be able to file a workers’ comp claim ...

Can you get compensation for an injury while working remotely?

For example, a sales rep who gets injured in a car accident on the way to a client meeting. However, compensation for employees who are injured while working remotely from home depends on the specific nature of the injury, ...

Does workers comp pay for a pre-existing condition?

Additionally, workers’ comp generally pays employees for an at-work injury that aggravates a pre-existing condition. For example, a worker who aggravates ...

Do employers have to provide workers comp insurance?

In any conversation about workers’ comp insurance, it’s important to note that some states only require employers to provide coverage if they employ a certain number of employees. Check the specific laws in your state.

Is workers comp required in Texas?

Workers’ compensation insurance is required in every state except Texas. While workers’ comp insurance covers many employees, there are some types of employees who aren’t covered. In most states, employers are required by law to provide workers’ comp coverage to full-time employees.

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