top questions about workers' compensation
DESCRIPTION
The only time someone worries or asks questions about Workers' Compensation is typically after they have been injured. This short presentation covers the most common questions injured workers have about their workers compensation benefits. To find out more about Workers' Compensation and the rights of the injured, please visit http://www.comp7777.comTRANSCRIPT
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1 What is Workers Compensation?
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A form of insurance providing wage replacement and medical benefits to employees injured in the course of
employment.
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This is in exchange for mandatory relinquishment of the employee's right to sue his or her employer
for the tort of negligence.
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2 What is the history of Workers Compensation in the United States?
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Workers' compensation programs in the United States are state regulated, with laws determined by each state legislative body and implemented by a state agency.
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The programs provide the payment of lost wages, medical treatment, and
rehabilitation services to workers suffering from an occupational injury
or disease.
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3 What is the Workers Compensation Act?
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State statutes which establish liability of employers for injuries to workers while on the job
or illnesses due to the employment, and requiring insurance to protect the workers.
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Workers' Compensation Acts provide for a system of hearings
and quasi-judicial determinations by administrative law judges and
appeal boards.
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4 What is the workers Compensation Process?
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Providing notification of a work related injury to a New York State employer should be done within 30 days of the
injury and in writing. Notice should be provided to the injured worker’s
immediate supervisor or to the Human Resources Department.
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The injured worker should file a formal
notice of claim, form C-3 in New York
State.
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The injured worker should file a formal
notice of claim, form C-3 in New York
State.
This form should be filed with the Workers’
Compensation Board and copied to the
claimant’s employer.
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The law requires the filing of a claim
within two years of the date of injury.
This form should be filed with the Workers’
Compensation Board and copied to the
claimant’s employer.
The injured worker should file a formal
notice of claim, form C-3 in New York
State.
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The employer then submits its report of injury form, C-2, to the New York State Workers’ Compensation Board and
notifies its Workers’ Compensation insurance carrier
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5 How Do I file A Workers Compensation Claim?
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Get immediate medical care if
your injury requires.
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Get immediate medical care if
your injury requires.
You must inform your employer
of your injury as soon as possible.
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Get immediate medical care if
your injury requires.
Your employer will have claim
forms for you to fill out and
submit .
You must inform your employer
of your injury as soon as possible.
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6 What Happens in the workers compensation hearing?
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Formal hearings are held with an ALJ - these are semi-
judicial proceedings.
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Exhibits of documents and reports are entered into the formal hearing record.
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Hearings generally result in payment of some or all of a
claim or dismissal of the application.
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7 What is a Workers Compensation Board?
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Administrative Law Judges conduct hearings and mediations. The five member board is an
appellate body that reviews Administrative Law Judges' orders.
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8 What is Workers Compensation Fraud?
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Workers’ compensation fraud occurs when
someone willfully makes a false statement
or conceals information in order to receive
workers’ compensation benefits or
prevents someone from receiving benefits
to which they might be entitled.
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9 What is the Workers Compensation Statute of Limitations?
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Each state has their own workers' comp laws, and some
state's "statute of limitations" (deadline) for filing a claim
depends on the type of injury.
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10 How Much Will My Workers Compensation Claim Be Worth?
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Benefit amounts will
differ depending on
the severity of the
injury.
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Benefit amounts will
differ depending on
the severity of the
injury.
If an injury leaves the
employee totally unable
to work, the benefit
amount is based on a
fixed formula.
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Benefit amounts will
differ depending on
the severity of the
injury.
If an injury leaves the
employee totally unable
to work, the benefit
amount is based on a
fixed formula.
For an injury which allows one to continue
working in a limited capacity, the benefit
amount is based on a rating system adapted by
the American Medical Association.
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11 How Do I file an Appeal of my workers compensation claim?
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In New York State an appeal must be filed within 30 days after the filing of the decision which is being objected to.
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In New York State an appeal must be filed within 30 days after the filing of the decision which is being objected to.
Special forms exist for the filing of an appeal; also know as a Request for Board Review.
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12 Do I need an attorney to represent me in my workers compensation claim?
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In workers’ compensation cases, the law is set up to
assist injured workers in their ability to obtain legal
counsel. A Workers’ Compensation attorney is paid from the injured worker’s lost wage
benefits and his or her fees must be approved by a Law
Judge.
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For more information on Workers’ Compensation, please visit
THANK YOU
www. comp7777.com