Available Benefits

Workers' Compensation ADR Programs

Workers' Comp Benefits Vary by State

Workers' compensation provides benefits to employees who are injured or become ill as a result of their job. The specific benefits provided by workers' compensation programs vary by state, but generally, the following benefits are available:

  1. Medical benefits: Coverage for medical expenses related to the work-related injury or illness, including doctor visits, hospital stays, prescription drugs, and rehabilitation services.

  2. Temporary disability benefits: Payments to employees who are temporarily unable to work due to a work-related injury or illness.

  3. Permanent disability benefits: Payments to employees who are permanently disabled as a result of a work-related injury or illness.

  4. Vocational rehabilitation benefits: Assistance in finding new employment or training for a new job if an injury makes it impossible to return to the previous job.

  5. Death benefits: Payments to the surviving spouse, children, or other dependents of an employee who died as a result of a work-related injury or illness.

Eligibility for Benefits

It's important to note that not all claimed work injuries are eligible for workers' compensation benefits. The criteria that determine the compensability of a work injury can vary depending on the jurisdiction and the specific circumstances of the injury or illness. However, the following factors are typically considered in making this determination:

  1. Arising out of employment: The injury must have occurred during the course of the employee's work and must have arisen from the employee's job duties.

  2. In the course of employment: The injury must have occurred while the employee was performing work-related duties.

  3. Causation: The injury must be shown to have been caused by the conditions of the employee's job, and not by factors unrelated to their employment.

  4. Employer's control: The employer must have had control over the conditions that caused the injury.

  5. Time and place of injury: The time and place of the injury must be consistent with the employee's work duties and work schedule.

  6. Intentional or criminal acts: The injury cannot have been caused by the employee's intentional or criminal acts, or by their use of illegal drugs.

  7. Medical evidence: Medical evidence, including doctor's reports and hospital records, can play a crucial role in determining compensability.

Ultimately, the decision on whether an injury is compensable will depend on the specific facts and circumstances of the case and the laws and regulations in the jurisdiction where the injury occurred.