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All states (and the District of Columbia) have
Some states have compulsory workers' compensation laws, while others have elective laws. In compulsory states, companies who employ only a few people (less than a set minimum) may not have to comply with the law, although all other employers do. In elective states, both employer and employee have the right to reject the law. However, if the employer rejects the law, the employer gives up any protection from liability offered under the law as well. Some states require that certain occupations (such as dangerous ones) be covered under workers' compensation, while other occupations are exempted. In addition, many states exclude farm workers and domestic employees from compulsory coverage.
You can't receive workers' compensation benefits unless your illness or injury was work-related. An accidental injury is a compensable injury only if employment was the source of the injury, and the injury occurred during the course of employment. An illness is considered work-related only if it qualifies as an occupational disease. To qualify as occupational, the illness must result from employment and be caused by conditions specific to that employment or occupation. Two examples will illustrate how injuries or illnesses must be work-related:
Example(s):
Example 2: Carol developed a severe skin rash after trying out a new permanent wave solution on a client at her beauty salon. She was eligible to receive workers' compensation disability insurance because her disease was classified as occupational since it was related to her work duties and was specific to her occupation. However, if she had come down with the flu after coming in contact with a client who had it, she wouldn't have been eligible for benefits. Even though she contracted the disease at work, it wasn't specific to her occupation; she (or anyone else) could have contracted it elsewhere.
If you are injured on the job, you may receive either permanent or temporary disability benefits from workers' compensation. In addition, your disability may be classified as either total or partial. How your benefit is paid, and in what amount, is determined by the law in your state, and depends as well on how severe and permanent your injury is. These benefits can be paid to you weekly, in a lump sum, or both. Permanent disability benefits are often paid in a lump sum according to a schedule determined by the state. Temporary benefits are usually paid weekly, and the amount of benefit you receive is based on your wages at the time you were injured. In most states, you will receive 66 2/3 percent of your wages, although this percentage may be higher for permanent total disabilities. However, your benefit is also subject to a weekly maximum that varies widely from state to state.
Medical care is provided under all state workers' compensation laws. In most cases, the full cost of the injured worker's medical treatment will be paid. A few states, however, limit payments for medical care and restrict the length of time during which medical care can be supplied.
Rehabilitation benefits are not included in each state's workers' compensation laws, but all states do provide rehabilitation under the Federal Vocational Rehabilitation Act. If you become disabled, you may receive physical, mental, or vocational rehabilitation; pay for expenses incurred during rehabilitation; and aids (such as a wheelchair) that you require. Some states, however, impose maximum limits on rehabilitation benefits.
If you receive Social Security disability benefits, any disability benefit you receive from workers compensation may offset (reduce) your Social Security disability benefit. This applies if you are under normal retirement age. For more information, see Social Security Disability Benefits.
Workers' compensation may reduce the amount of benefit you receive from an individual disability insurance policy in two ways. First, some insurance companies require that you make more than $25,000 to purchase a disability insurance policy, because in many states, workers'compensation may pay you up to this amount (or more) if you are injured or sickened on the job. Second, other companies will issue you disability policies, but they will ask you to purchase a social insurance offset rider that will reduce benefits paid to you if you become disabled and begin receiving some type of social insurance (such as workers' compensation or Social Security). If you purchase such a rider, you will pay less overall for disability insurance coverage than you would if you did not purchase the rider. For more information see Individual Disability Income Insurance.
Example(s): Liz purchased a private disability insurance policy that would pay her $1,200 a month (60 percent of her earnings) in the event she became disabled. Six months later, she was hurt at work and filed a workers' compensation claim as well as a disability insurance claim. However, because she had purchased a social insurance offset rider, she did not receive any benefit from her disability insurance policy because her workers' compensation benefit was higher (66 2/3 percent of her earnings).
Tip: Some policies also limit disability protection (through definition of disability clauses) to disabilities that occur away from work, assuming that workers' compensation will pay for work-related disabilities.
Assuming that your employer and your occupation fall under your state's workers' compensation laws, you are covered as soon as you begin working. Your employer must provide benefits to all employees regardless of how long they've worked for the company or how much they earn.
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