Worker's Comp Flashcards
(19 cards)
Five Employer Common Law Obligations
- Reasonably safe place to work
- Reasonably safe tools
- Competent fellow employees
- Safety rules established/enforced
- Warn workers of any known dangers
Three Employer Common Law Defenses
- Assumption of Risk
- Contributory Negligence
- Fellow Servant Rule
5 Common Purposes of WC Law
- Negligence is no longer a basis for determining liability/recovery
- Provides prompt/reasonable payments of benefits
- Exclusive Remedy
- Employers have predictability for cost of benefits
- Encourages loss prevention/interest in safety
Exclusive Remedy
protect the employers from additional exposure after being
legally required to provide benefits on a no‐fault basis per statute
3 Funding Methods
- Private Carriers
- State Funds
- Self Insurance where permitted
Employer Status
- Primary/Direct Employer
- De Facto Employer
- Statutory/De Jure Employer
- Regular/General Employer
WC Exemption Types
- Numeric Exemptions
- General Exemptions
- Specific Positions
- Others
Numeric Exemptions
may exempt employers from WC law if that employer has less than a specific number of employees
General Exemptions-Types of Employees
- Domestic Employees
- Agricultural/Farm Workers
- Real Estate Salespersons
- Casual Laborers
Specific Positions-Exemptions
Sole Proprietors/Partners are usually not considered employees
Other Exemptions
independent contractors, volunteer workers, leased workers
4 Required Benefits
- Medical Benefits
- Compensation for Lost Wages
- Rehabilitation Benefits
- Death/Survivorship Benefits
Disability Benefit Types
- Temporary Partial
- Permanent Partial
- Temporary Total
- Permanent Total
Employer’s Liability Claim Types
- Third Party Over
- Care/Loss of Services
- Consequential Bodily Injury
- Dual Capacity
Third Party Over
third party seeking recovery from insured because it was held liable for insured’s employees injury
Care/Loss of Services
Protects against lawsuits filed by an injured employee’s spouse and/or children for loss of the services resulting from injury to the employee in the course of employment
Consequential Bodily Injury
Protects against a lawsuit filed by a family member for an injury or disease suffered as a consequence of the employee’s injury
Dual Capacity
Protects against lawsuits brought by an injured employee, against the
employer when the injury arises from the activities of the employer in a capacity other than as an employer. In such a case, the employer is liable not only as an employer for workers compensation benefits but also as an entity acting in a different capacity.
Employer’s Liability Exclusions
- Contractual Liability
- Punitive/Exemplary Damages
- BI to an employee while employed in violation of the law
- Any obligation under WC/Similar law
- Intentional Injury caused by insured
- Injury outside US, territories, Canada
- Employment-Related Practices