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What Is Workers Compensation Insurance

How To Reduce Workers Comp Insurance Costs

A Compensation Strategy that Makes Sense – Human Resources

Workers comp is a crucial component of a small business insurance plan. Here are tips for saving money on it.

Employee training. Teaching your employees how to perform simple tasks on the job can help to prevent accidents and injuries. For example, you want your employees to be able to identify hazards and report them.

Property upkeep. Providing your employees with a safe and healthy workplace can help reduce accidents, injuries and illnesses. Routine building inspections are important and youll want to keep the building air ducts clean. Make sure the building is up-to-date with building maintenance.

Safety rules. Educating your employees on safety within the workplace can help prevent slips and falls and other accidents. Devote some time to reviewing safety rules with employees.

Proper equipment. Give employees the most up-to-date personal protective equipment that they need to stay safe on the job.

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Understanding Workers’ Compensation Coverage A

When an employee is injured, disabled, or dies while on the job, the employee or their survivors are entitled to workers’ compensation coverage A benefits. Under this type of insurance, the employer pays certain benefits such as medical care, lost wages, and rehabilitation costs.

The benefits of workers’ compensation are generally awarded on a no-fault basis, as long as the employee is not under the influence of drugs, including alcohol. Employees are usually required to submit to a drug test following an on-the-job accident. Many workers’ compensation incidents provide partial reimbursement of lost wages, and survivor benefits in the event the worker is killed while on the job.

Workers’ compensation Part A satisfies state insurance requirements. It funds employees medical bills, related expenses, and lost wages in the case of a covered workers compensation loss. Payments made are normally based on predetermined schedules in the case of defined injuries. Expenses are paid accordingly as the adjuster calculates them.

If a company fails to carry workers’ compensation coverage, it can result in fines ranging from $1,000 to $10,000 or more, and even jail time, depending on the state or jurisidction.

The Importance Of Getting An Injured Worker Back To Work

Long absences from work can have a lasting negative impact on workers future employment opportunities and thus on their economic well being. A study of injured workers in Wisconsin by the Workers Compensation Research Institute found that the duration of time off from work and periods of subsequent unemployment are lower for injured workers who return to their pre-injury employer than for those who change employers.

Effective communication by employers is critical to facilitate the injured workers return to work. You should explain to workers how the workers compensation system works and that they are required to report an accident immediately and get medical attention promptly.

Your expectations relative to work-related injuries or accidents should be part of the employee handbook , conveyed to new employees as part of orientation, posted on bulletin boards and communicated periodically in safety reviews.

Communicate regularly with employees who are off work due to a work-related injury. Workers who know they are thought about, missed and still part of the workplace team are generally more eager to return. Some insurers will keep employers informed about how the employees treatment is progressing.

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Who Is Required To Carry Workers Compensation Insurance

All states, with a small number of exceptions, require businesses with employees who are not owners, to purchased workers compensation coverage for those employees.

Businesses that fail to provide workers compensation coverage can face severe and costly repercussions including payment of claims out of pocket, fines and possible imprisonment, as well as possibly losing the right to conduct business in the state.

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Workers Compensation Insurance For Small Business Owners ~ Insurance

What would you do if you had extra cash to put back into your business? ADPs Pay-by-Pay Premium Payment Program is a unique solution that offers your company a simple and efficient way to pay your premium:

  • No upfront premium deposit is required3, which may free up funds that you can invest in your business
  • Premium payments are based on actual, not estimated, payroll data and carrier rates, to minimize over or underpayments at your year-end audit
  • Payments are spread over your companys payroll cycle so you know what to expect and when

Compare ADP’s Pay-by-Pay to traditional premium payment programs.

Traditional Premium Payments

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Why Do We Have Workers’ Comp

The idea of workers’ comp is not newâin fact, workers’ comp has been around since ancient Sumer in 2050 BC.

Workers’ comp came to be in modern times when the Federal Employers’ Liability Act was enacted in 1908 to protect railroad employees.

Colorado created workers’ compensation laws early through the Colorado Workers’ Compensation Act in1915. By 1948, a workers’ compensation law, in one version or another, was adopted by all states.

In the great state of Colorado, our workers’ comp system is overseen by The Colorado Division of Workers’ Compensation .

If You Are Injured While Working

#1 Immediately report any workplace injury or illness to your supervisor/HR Partner.

#2 Contact USCs workers compensation administrator, Broadspire, by calling 495-2315 .

  • You will be triaged to a specially-trained nurse who will immediately assess the injury and determine the best course of action for you. Nurses have access to interpreters to help with over 200 languages when necessary. Depending on the situation, you may be guided in first aid , allowed back to work, or be referred to a medical facility within the USC Medical Provider Network for further evaluation.
  • Contacting Broadspire is crucial because this is how you obtain a claim number allowing you to seek medical treatment. If you are unable to call, the HR Partner must call Broadspire.
  • NOTE: there is no claim unless the employee or HR Partner notifies Broadspire.

#3 Submit completed workers compensation claim form DWC-1 to your supervisor or HR Partner.

  • The employee must complete the top portion of DWC-1 form and include Social Security number and original signature .
  • Employees who seek medical treatment and/or wish to file a claim must complete this form within 24 hours of sustaining the injury.
  • State law requires USC to authorize medical treatment within one working day of receiving the completed form.
  • If you delay reporting your injury or completing the form, it may delay benefits or jeopardize your right to obtain benefits altogether.

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Does Workers’ Compensation Protect Against Employee Lawsuits

In many states, yes. Most workers compensation policies include employers liability insurance to protect your business if an injured worker files a lawsuit against you for not preventing a workplace accident.

Business owners in North Dakota, Ohio, Washington, and Wyoming do not have employers liability insurance included in workers comp.

In these states, workers comp policies are purchased from monopolistic state funds, which do not offer this coverage. Insurance companies sell stop gap coverage to protect you from employee lawsuits.

Types Of Independent Contractors That Need Insurance

California Workers’ Compensation: Pre-existing Conditions

Many contractors believe that they do not need insurance. This is simply a mistake. In fact, pretty much every independent contractor in Canada needs some type of insurance. Insurance will provide you with additional peace of mind, since youll know that your business is protected from start to finish. All contractors need to protect themselves by having an adequate general liability insurance policy. As a construction professional, you can begin today by learning about how to get contractors insurance by either speaking to a broker over the phone or by reading more on this topic on our website. Not only is it good to have insurance, at the same time, you may need insurance to work legally in many Canadian provides. Appliance installers, scaffolding contractors, artists, handymen, tree removal companies, and other construction contractors all need CGL business insurance.

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When A Workers’ Comp Lawyer Is Typically Necessary

Any time you’re in a dispute with the insurance company, you should consider hiring a lawyer to represent you. You will need to gather evidence in order to challenge the insurance company’s position, which may include taking depositions, requesting an independent medical examination, and hiring expert witnessesall of which require legal knowledge and skill.

The following are some examples of when you’re best served by hiring a lawyer:

How Do You Apply For Workers’ Compensation

The rules for applying for workers’ compensation vary by state. In general, a worker with a job-related injury or illness should:

  • Write down the details of the injury or illness in detail, with photos and the names of witnesses when possible.
  • Report the injury or illness to your employer. The employer should take it from there, filing your claim with the insurer.

You can follow through with the employer’s insurance company to make sure a claim was filed.

If your claim is denied, you can appeal the decision with your state’s workers’ compensation board.

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What If An Injury Occurs Without A Policy

The Uninsured Employers Fund pays benefits on valid claims filed by employees who are injured while working for illegally uninsured employers. When an employee files a compensable claim, the UEF pays benefits as if the uninsured employer had been insured. The uninsured employer is required to reimburse the UEF for all costs of a paid claim. The uninsured employer is personally liable to reimburse the UEF for benefit payments to an injured employee. Aggressive collection, including warrants, levies, garnishment and execution against property, are used to ensure reimbursement. The normal exemptions of property from seizure and sale on execution of a judgment do not apply to uninsured employers.

What Is The Drug

What Happens if My Employer Doesnt Have Workers Comp Insurance ...

New Mexico law provides for a reduction in workers’ compensation benefits proportional to the degree a worker’s intoxication contributed to the incident causing injury or death . A reduction in benefits is available only to employers who have and implement a written drug-and-alcohol-free workplace policy.

Employers cannot claim a reduction in benefits if they knew of the impairment but allowed the worker to remain on the job.

The policy does not affect medical benefits nor death benefits for survivors.

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Why You Need Workers Comp Insurance

The answer is simple:

  • Most states require businesses with one or more employees to have workers compensation insurance only a few states dont require it
  • States that require workers’ comp typically impose significant penalties for companies that dont comply
  • Coverage is necessary regardless of fault injured workers are typically eligible for workers compensation, even if their injuries resulted from their own negligence
  • Health or medical insurance doesnt substitute for workers comp employees are only covered for on-the-job injuries or job-related illnesses

Learn more about what workers compensation insurance is, and why you need it, from our affiliate agency, ADPIA.

ADPIA Workers Compensation Insurance

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What Injuries Qualify For Workers Compensation

Workers compensation covers medical costs or death benefits that result from employee injuries that occur while the employee is doing their job or acting on your behalf. Examples include injuries or illnesses related to the following:

  • Lifting or moving of boxes
  • Operation of heavy equipment
  • Burns from chemicals or hot materials
  • Violent or terrorist acts
  • Fires, floods and natural disasters

Different states exclude certain situations that can be covered by workers compensation. Here are some examples of employee actions that would not qualify for workers compensation:

  • Intentionally injures themselves
  • Gets injured in a fight with another employee
  • Becomes injured due to drug or alcohol intoxication
  • Gets injured or dies on the commute to work
  • Experiences emotional injury without an accompanying physical injury

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Are There Any Exemptions

There are special provisions in the law covering independent contractors. An independent contractor, sub-contractor or owner/operator may actually be a statutory employee of the employer for whom he or she is working, unless they meet the Worker’s Compensation 9-point test under s. 102.07 of the Wisconsin statutes. An independent contractor, sub-contractor or owner/operator who employs others must provide insurance for employees, as well as obtain insurance in his or her personal or trade name. No employer may elect to be under the insurance coverage of another employer or contractor. Independent contractors who do not have employees or who are not required to be insured may choose to purchase insurance for self-coverage. The policy must be endorsed to name the sole proprietor or partners for them to be covered. Employers and independent contractors may purchase insurance without personal benefit coverage. Find more detailed information here:Independent Contractors andWorker’s Compensation in Wisconsin

In addition, there are specific provisions under s. 452.38, Wis. Stats., for a real estate broker, agent or salesperson that may exempt them from the Act. For more information, visit: Real Estate Brokers, Agents & Salespersons andWorkerâs Compensation in Wisconsin

Do Employers Have To Carry Workers Compensation

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Most businesses with one or more employees require some form of insurance . Whether your business and employees require this insurance will depend on the type of business and status of your employees. Each state has its own rules on what is covered, how it evaluates different issues, how injured employees receive medical care and which benefits an employee can receive.

The following types of employees are likely to be exempt from the workers compensation insurance requirement:

  • Family members who are employees
  • Part-time employees
  • Railroad employees

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What An Employee Should Know About Workers’ Compensation Insurance In The Pandemic

Whether a worker is entitled to coverage is determined by the Governors Department of Industrial Accidents on a case-by-case basis, and workers can appeal these cases to the Courts. If you believe that you meet the criteria below, have been denied workers compensation by your employers insurance company, and have additional questions, please call our office at 830-6277.

What Is Workers’ Compensation Insurance

Workers’ compensation insurance, also called workers’ comp insurance, helps cover medical expenses and lost wages for small business owners if an employee is injured or becomes sick. This coverage can include rehabilitation services and death benefits too. Workers’ compensation insurance is also called workman’s compensation or workman’s comp. The GEICO Insurance Agency, LLC has teamed up with companies to help your business get the coverage you need. Get your workers’ compensation quote.

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What Benefits Do Injured Workers Receive

Income replacement benefits are based on whether the disability is total or partial and whether it is permanent or temporary. Impairment is generally defined as a reduction in earnings capacity, sometimes using the American Medical Associations criteria.

Most states require that benefits be paid for the duration of the disability, but some specify a maximum number of weeks, particularly for temporary disabilities. The benefit amount is a percentage of the workers weekly wage .

What Is A Second Injury Fund

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About half the states have second injury funds to encourage the hiring of workers who are partly disabled but still able to work. Employers would be reluctant to hire such workers due to the risk they could sustain an injury that would combine with the prior injury or condition to cause a disability. Without second injury funds, the new employer would be liable for the entire cost of the claim. When a partially disabled employee suffers a second injury, part of the cost of the second injury is apportioned to the second injury fund.

Some states discontinued their second injury funds following passage of the Americans with Disabilities Act . Although the ADA requires employers to maintain confidentiality about employees disabilities, the confidentiality rule does not apply to communications with state workers compensation authorities or second injury funds.


  • Manage Your Risks
  • Take Advantage of Saving Opportunities
  • Be Sure Your Premium is Correctly Figured
  • Raise Your Deductibles
  • Try to Avoid Assigned Risk
  • Coordinate Disability Programs

Manage Your Risks Most small companies do not believe they can afford to hire a risk manager. Nevertheless, someone in the company should have a continuing responsibility for loss control and the management of workers comp claims. This involves a variety of programs to keep workers safe, the medical management of claims and early return to work for any injured workers.

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Who Is Required To Have Workers’ Comp Coverage

Each state and territory have some form of workers’ compensation board that governs workers’ comp in its state.

Colorado law requires all businesses with at least one full-time or part-time employee to have a workers’ compensation policy.

There are exemptions, however, which include:

  • Sole proprietorships
  • Independent contractors with no employees
  • Drivers working for a contract carrier
  • Real estate agents and brokers paid by commission
  • Part-time private domestic and maintenance or repair workers
  • Casual maintenance or repair workers who earn less than $2,000 per calendar year

Corporate officers and members of LLCs who own at least 10 percent of the business may also exclude themselves from coverage.

Businesses receive fines when they do not carry the necessary insurance.

Risk Control For Workers Comp Claims

Theres a lot that can help a business owner control their risk associated with employee injuries, says Dalton. You dont want to leave these things to chance and you want to be certain you have safety protocols and procedures and that your business has taken steps to reduce the kinds of things that can cause injury.

Training employees on workplace safety is a key approach to minimizing worker injuries and accidents. Many states offer workers compensation insurance discounts if the business implements a workplace safety program. This safety program could include:

  • Safety inspections

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