Worker's
Compensation In California - Generally, if an employee is injured
on the job in California, he or she may recover under "Worker's
Compensation."
What
is it? Worker's compensation is an insurance system. All
employers must have worker's compensation insurance of some kind
to cover any injury to any employee at the workplace. Virtually
all working Californias are "employees" for the purposes
of worker's compensation with few exemptions, such as the self-employed
or unpaid volunteers.
When
does coverage begin? Employees are covered from the first
moment on the job. There's no waiting period or minimum income requirement.
What
kinds of injuries qualify? It does not matter if the injury
or illness resulted from an accident, exposure to unhealthful materials,
repetitive use or any other reason. If the injury happened on the
job, the employer's worker's compensation insurance must pay for
the medical and wage expenses.
How
does it help the employer? The benefit to the employer
is that employees in California cannot sue their employers for negligence.
The employees can only recover under the worker's compensation insurance
program.
What
benefits do injured workers receive? All reasonable medical
care with no deductible and no limit on time or amount. Employees
also receive partial replacement of lost wages as "temporary
disability" - commonly two-thirds of the employee's average
weekly wage up to the state maximum.
What
if the employee cannot continue work? Employees with serious
injuries that prevent them from returning to their usual job may
qualify for vocational rehabilitation, or if the injury is a permanent
impairment, additional "permanent disability" payments
will be made. If the injury is fatal, surviving dependents will
be paid death benefits.
Are
there limitations? Yes. For example, employees can recover
only set maximum amounts, regardless of their income.
How
do we report a claim? When an injury happens, give the
employee a claim form. State law requires the employer to furnish
the form within one day after knowledge of the injury. When the
employee completes it, give a copy to the employee and send another
copy to the insurer. MOST IMPORTANTLY - even if the employee hasn't
returned the claim form, complete the Employer's First Report of
Injury and send it to your insurer within five days of the injury.
For additional
information on worker's compensation, contact your insurance company. |