Workers' Compensation

Workers' Compensation

Workers' compensation is a government-mandated system that pays monetary benefits to workers who become injured or disabled in the course of their employment. Workers' compensation should not be confused with disability insurance or unemployment income; it only pays workers who are injured on the job, while disability insurance pays out regardless of when or where the insured is injured or disabled. Workers' compensation is a type of insurance that offers employees compensation for injuries or disabilities sustained as a result of their employment. Identical injuries can receive radically different kinds of compensation depending on where a worker resides, which makes it all the more important to examine local compensation statutes. Workers’ compensation is a form of insurance that pays workers who are injured or become disabled as a result of their job.

Workers’ compensation is a form of insurance that pays workers who are injured or become disabled as a result of their job.

What Is Workers' Compensation?

Workers' compensation is a government-mandated system that pays monetary benefits to workers who become injured or disabled in the course of their employment. Workers' compensation is a type of insurance that offers employees compensation for injuries or disabilities sustained as a result of their employment.

Workers’ compensation is a form of insurance that pays workers who are injured or become disabled as a result of their job.
Accepting workers’ comp benefits means the employee waives the right to sue their employer.
Most compensation plans offer coverage of medical fees related to injuries incurred as a direct result of employment.
Workers’ comp is not the same as unemployment benefits or disability insurance.

Understanding Workers' Compensation

By agreeing to receive workers' compensation, workers also agree to give up their right to sue their employer for negligence. This "compensation bargain" is intended to protect both workers and employers. Workers typically give up further recourse in exchange for guaranteed compensation, while employers consent to a certain amount of liability while avoiding potentially greater damage of a large-scale negligence lawsuit. All parties (including taxpayers) benefit from avoiding the legal fees needed to process a trial.

Most compensation plans offer coverage of medical fees related to injuries incurred as a direct result of employment. For example, a construction worker could claim compensation if scaffolding fell on their head, but not if they were in a traffic accident while driving to the job site. In other situations, workers can receive the equivalent of sick pay while they are on medical leave. If a worker dies as a result of their employment, workers' compensation also makes payments to their family members or other dependents. 

Special Considerations

While the "compensation bargain" excludes the possibility of a tort of negligence being issued by employees, this is not to say that compensation is a foregone conclusion. For one thing, it is not always clear whether or not an employer is actually liable for an injury to their worker. Furthermore, working injuries are chronically underreported in some industries.

Legally, there is no penalty for reporting a workplace injury to an employer, but this stipulation is impossible to regulate on an individual level, especially in industries like construction where a worker's livelihood depends to a degree on their physical abilities. Workers' compensation payments are also susceptible to insurance fraud — in some cases, workers will sustain an unrelated injury but report that it was sustained on the job.

Workers' compensation should not be confused with disability insurance or unemployment income; it only pays workers who are injured on the job, while disability insurance pays out regardless of when or where the insured is injured or disabled. Workers' compensation also does not cover unemployment. Unlike unemployment income or disability benefits, workers' compensation is always tax-free.

Types of Workers' Compensation

In the U.S., workers' compensation policy is usually handled by the individual states. The U.S. Department of Labor houses an Office of Worker's Compensation Programs, but it is only responsible for compensation policies for federal employees, longshoremen, and coal miners. The lack of federal standards for workers' compensation has resulted in deeply varied policies for the same kinds of injuries in different parts of the country. Therefore, it is essential for a worker acknowledging and preparing for the possibility of a work-related injury to carefully examine both state and company compensation literature. 

Identical injuries can receive radically different kinds of compensation depending on where a worker resides, which makes it all the more important to examine local compensation statutes. A 2015 study showed that incommensurate workers' compensation is closely correlated with persistent income inequality.

Related terms:

Collateral Source Rule

The collateral source rule prevents monetary damages from being reduced by the amount that was reimbursed from another source such as insurance. read more

Disability Insurance

Disability insurance is a type of insurance that will provide income in the event a worker is unable to perform their work due to disability.  read more

Employers' Liability Insurance

Employers' liability insurance covers businesses against claims by employees who have suffered a job-related injury or illness, or who file lawsuits.  read more

Insurance Fraud

Insurance fraud is the execution of illicit schemes to falsely reap the monetary benefits of an insurance policy. read more

Insurance

Insurance is a contract (policy) in which an insurer indemnifies another against losses from specific contingencies and/or perils. read more

Liability Insurance

Liability insurance provides the insured party with protection against claims resulting from injuries and damage to people and/or property. read more

Monopolistic State Fund

A monopolistic state fund is a government-owned and operated fund set up to provide a mandatory insurance service in certain states and territories. read more

Unemployment Income

Unemployment income is temporary income that governments provide to individuals who have lost their job through no fault of their own. read more

Unemployment

Unemployment is the term for when a person who is actively seeking a job is unable to find work. read more

Workers' Compensation Coverage B

Workers' Compensation Coverage B is an insurance policy covering medical care, lost income, and rehabilitation costs for employees injured on the job. read more