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- @058 CHAP 11
-
- ┌───────────────────────────────────────────────┐
- │ WORKERS' COMPENSATION INSURANCE │
- └───────────────────────────────────────────────┘
-
- One of the "hidden" costs of having employees is the
- necessity, at least in most states where you may do business,
- to have Workers' Compensation Insurance coverage, a cost that
- usually cannot, by law, be charged to the employees by the
- employer. One of the advantages of Workers' Compensation
- coverage to you as an employer, however, is that if a worker
- is injured or becomes ill as a result of a job-related
- injury or illness, he or she usually cannot sue you for
- damages, but must instead file for Workers' Compensation
- benefits, as set by law, which are paid by your W.C.
- insurance carrier. A disadvantage of this system is that
- Workers' Comp coverage is often quite expensive, particularly
- if you have workers engaged in relatively hazardous
- activities.
-
- Workers' Comp insurance provides 4 types of major benefits
- to injured workers (in most states):
-
- . Medical benefits, for medical and surgical expenses
- to treat the injury.
-
- . Death benefits, usually including burial costs and
- payments to the surviving spouse and/or children.
-
- . Temporary disability benefits, which usually begin
- after only a few days off the job (replacing some
- percentage of pay, in the usual case).
-
- . Permanent total disability benefits, usually a lump
- sum awarded by a state commission.
-
- Workers' Comp is a "no-fault" system. That is, the
- employee does not have to show that the employer was
- negligent in any way. All the injured employee must show
- is (a) that there was an injury and (b) that it occurred in
- the course of employment. This also means, generally, that
- the injured worker gets Workers' Comp benefits as an
- exclusive remedy, and can't sue the employer or co-workers
- for negligence, except in certain rather extreme situations.
-
- @CODE: TX
- Texas is one of the very few states that does not require
- an employer to obtain Workers' Compensation Insurance.
- However, an employer runs a considerable risk by not having
- such insurance.
-
- @CODE:EN
- @CODE: DC
- In Washington, D.C., virtually all employers are required
- to provide Workers' Compensation insurance coverage for
- employees.
-
- @CODE:EN
- @CODE: AR FL GA VA NC NM SC RI MO MS
- While Workers' Compensation Insurance is generally
- mandatory (in most states) for small employers, such
- coverage is legally required in the state of @STATE
- @CODE:OF
- @CODE: AR GA NC VA
- only for employers with 3 or more employees.
-
- @IF001xx]@NAME is exempt, with only 1 employee.
- @IF001xx]
- @IF002xx]@NAME is exempt, with only 2 employees.
- @IF002xx]
- @IF005xx]Your business appears to be subject to this requirement,
- @IF005xx]as @NAME has @EMP employees.
- @IF005xx]
- @CODE:OF
- @CODE: NM
- only for employers with 3 or more employees. However,
- no such exemption is allowed for businesses subject to
- the Construction Industries Licensing Act, regardless of
- the number of employees.
-
- @IF154xx]@NAME is in construction/contracting.
- @IF154xx]
- Certain types of employees are not required to be covered
- by workers' compensation, including domestic servants, farm
- and ranch workers, and certain executive employees.
-
- Individuals who are not considered to be "employees," such as
- sole proprietors, partners in a partnership, and independent
- contractors such as "qualified real estate salespersons" (as
- defined), are generally exempted from coverage.
-
- A "qualified real estate salesperson" is someone who meets
- all the following requirements:
-
- . A licensed salesperson, associate broker, or broker
- under contract with a real estate firm;
-
- . Receives substantially all his or her remuneration
- based on performance or sales output; and
-
- . Performs services pursuant to a written contract that
- specifically provides that he or she will not be
- treated as an employee with respect to such services.
-
- Note that in New Mexico, every employer subject to the
- Workers' Compensation Act who has an annual workers
- compensation insurance premium of $5000 or more (or who
- self-insures) is subject to an annual safety inspection.
-
- Firms subject to the Workers' Compensation Act must post
- an official workers' compensation poster in the workplace.
- There are potentially severe legal consequences for failure
- to display this poster. Obtain copies of the poster from
- the state Workers' Compensation Administration.
-
- Employers in New Mexico who have covered employees are
- also subject to a special workers' compensation tax, based
- on the number of covered employees, and must register
- separately for it.
-
- @CODE:OF
- @CODE: SC RI
- only for those employers with more than 3 employees.
-
- @IF001xx]@NAME is exempt, with only 1 employee.
- @IF001xx]
- @IF002xx]@NAME is exempt, with only 2 employees.
- @IF002xx]
- @IF003xx]@NAME is exempt, with only 3 employees.
- @IF003xx]
- @IF005xx]Your business appears to be subject to this requirement,
- @IF005xx]as @NAME has @EMP employees.
- @IF005xx]
- @CODE:OF
- @CODE: FL
- only for employers with 4 or more employees (1 or more
- employees, if in construction).
-
- @IF154xx]@NAME is in construction/contracting.
- @IF154xx]
- @IF005xx]Your firm appears to be subject to this requirement, since
- @IF005xx]@NAME has @EMP employees.
- @IF005xx]
- @CODE:OF
- @CODE: MO MS
- only if an employer has 5 or more employees, in general.
-
- @IF009xx]@NAME is exempt (only @EMP employees).
- @IF009xx]
- @IF005xx]Your business appears to be subject to this requirement,
- @IF005xx]as @NAME has @EMP employees.
- @IF005xx]
- @CODE:OF
- @CODE: WY
- In Wyoming, Workers' Comp. insurance is required for all
- "extra-hazardous" employment (which is very broadly defined).
-
- @CODE:EN
- Workers' Compensation insurance is mandatory for most
- employers, in general, in @STATE.
-
- @CODE: CA
- @CODE:NF
- California's worker compensation laws place the burden of
- proof for psychological disability on the employee, and
- also require reporting of all work-related injuries.
-
- As an employer in California, you are required by state
- law to do the following:
-
- . Notify new employees in writing, of their right
- to Workers' Compensation in case they incur a
- job-related injury or illness.
-
- . Notify injured employees of their benefits.
- Employers are required to give employees a claim
- form (form DWC-1) within 24 hours after an injury.
-
- . Post a notice to employees that gives the insurance
- carrier's name and that advises employees of their
- rights to compensation if injured on the job and to
- select their own physician.
-
- The California Workers' Compensation Act of 1989 made
- several major changes in the California Workers'
- Compensation laws, which:
-
- . Raised both minimum and maximum benefits;
-
- . Created a commission of "qualified medical
- evaluators";
-
- . Placed the burden of proof for psychological
- disability on the employee;
-
- . Require employers to give employees a
- claim form (form DWC-1) within 24 hours of
- an injury; and
-
- . Require reporting of all work-related
- injuries.
-
-
-