What type of coverage do you need?

Does it matter who is at fault if a worker suffers an injury on the job? It can be very frustrating. You told the worker to follow a specific set of steps. They did not do so. It is their fault they have an injury. Do you have to pay for it? Generally speaking, workers’ compensation insurance covers worker injuries no matter who is at fault. There are limitations here, however. Business owners need to understand what they can expect in this situation. Here is a closer look.image of employee falling off ladder

Why Fault Does Not Matter

In most workers’ compensation insurance policies, the goal is to provide financial compensation to cover most or all of a worker’s injury costs if they happened during the normal course of business. That sounds pretty simple.

Yet, when you have a situation in which the employee’s actions or inactions cause the injury, it’s frustrating to know if your business has to pay for the losses. This is how workers’ compensation insurance generally works.

One big instance in which this does not apply is intention. If a worker specifically hurts himself or herself because they want to collect workers’ compensation coverage, they generally do not have protection. Coverage is not going to pay out if the worker specifically or maliciously tries to file a claim. This would be an instance of fraud. Be sure to report that to your insurance company.

Why Is This the Coverage Setup?

In most cases, workers’ compensation is a way for employers to avoid lawsuits. It’s true – a worker can sue you if he or she has a reason to do so.

However, by providing workers’ compensation insurance, there is less likely a chance of that occurring. In some systems, the worker accepting workers’ compensation surrendered the right to sue the employer, according to the Insurance Information Institute. This does not apply in all states, and some limitations apply across the board (such as in situations where claim limits are a concern).

What applies in your situation? If an employee suffers an injury, you have the legal right to question it, even if you provide the employee with your workers’ compensation. If you believe it was an intentional injury, tell your business insurance company about it. They will pursue this if it is worthwhile.

You cannot fire an employee for filing a claim either. You can work with your workers’ compensation insurance company to minimize the risk of having to pay out on claims that are fraudulent.

Also Read: Steps to File a Workers' Compensation Claim

Share |

No Comments

Post a Comment
Required (Not Displayed)

All comments are moderated and stripped of HTML.
Submission Validation
Change the CAPTCHA codeSpeak the CAPTCHA code
Enter the Validation Code from above.
NOTICE: This blog and website are made available by the publisher for educational and informational purposes only. It is not be used as a substitute for competent insurance, legal, or tax advice from a licensed professional in your state. By using this blog site you understand that there is no broker client relationship between you and the blog and website publisher.
Blog Archive
  • 2019
  • 2018

View Mobile Version

Multiple Policies,  All in One Place

Most people have several different types of insurance to protect all of their important possessions. Still, we know it can be a hassle trying to settle on the right coverage. You need very specific protection, after all. Our goal is to help all of our clients cover their unique insurance requirements. We proudly offer:

Our latest blogs

  • travelers insurance logo
  • allstate insurance logo
  • safeco insurance logo
  • the hartford insurance logo
  • mercury insurance logo
  • progressive insurance logo
  • blue cross blue shield logo
  • CNA logo
  • CompuSource Insurance logo
  • Prosight logo
  • ameritrust logo
  • Bitco logo
  • Liberty Mutual logo
  • NAICO logo
  • HIIG logo
© Copyright. All rights reserved. Powered by Insurance Website Builder