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By definition, a covered employee is entitled to workers compensation benefits if he/she was injured within the course and scope of employment. Fault by the employer is not an issue--it is a form of strict liability which, historically, was developed as an alternative to employees suing employers who may have been at fault.

One of the primary exceptions to coverage (other than the injury not being within the course and scope of employment) is "horseplay". In general, this contemplates activities such as roughhousing--which is not considered to be within the course and scope of employment.

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Q: When is worker eligible to claim workmen's compensation?
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How do you submit a worker's compensation claim electronically?

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What resource to use to file a worker's compensation claim electronically?

Electronic Data Interchange


What is the meaning of the term injuries claim?

An injury claim is when someone receives an injury and the claim is sent to an insurance company for compensation. If you are hurt at work, the claim would be submitted to worker's compensation. An automobile accident injury would be submitted to the auto insurance company.


Can you claim worker's compensation if you broke your leg playing volleyball on company grounds?

No, not unless you were on company time.


Where can one file a workers compensation claim?

One can file a worker's compensation claim through the state disability office. Some places of employment also have offices inside the company where you can files claims.


Are you looking for a worker compensation lawyer to settle claim?

If you are looking for a good worker compensation lawyer, you should use one that has an informative website and has won cases in the past. It would be helpful to meet with the prospective lawyer and make sure he/she is knowledgeable and can help with your specific legal claim.


How do you find out if you are eligible for compensation due to having surgery?

File a claim. There are deadlines (vary by state) so don't delay.


How is the payment of workmens compasition insurance set up?

Once a Workman's Compensation claim is approved, payment will then start. Workman's Compensation can either send you a check for your payment or you can set up a direct deposit so the payment will automatically go into your bank account.


If a worker is injured at home and cannot return to work for several weeks is that worker entitiled to Workmen's Comp?

no, workmens comp is for time lost due to injuries at work This would be a short term disability claim if you employer offers STD.


Is workmens comp responsible for the 20 percent your insurance does not pay on doctors bills and prescriptions?

If you are talking about the med you get for workers comp pain they do pay the 100% (do not use your ins.)... (doctors visits as well) 100% If you have been injured on the job, Worker's Compensation is responsible for the WHOLE thing. It is not responsible for the 20% copay for your health insurance. It is illegal for you to file a work related claim on your personal insurance. Such claims must be covered by work comp per the Worker's Compensation Act. If your health insurance finds out, they can demand repayment.


Do state worker's compensation agencies need patient authorization for release of information?

In general, no. Worker's Comp is one of the exceptions to the privacy acts, since they are the payer of an accepted claim.


If you are on unemployment and quit a job to help a relative are you still eligible?

No, you cannot VOLUNTARILY make yourself unemployed and then claim unemployment compensation because of it.