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Health Care Reform

May 18, 2012
Are you prepared for a COBRA audit?
If you sponsor a group health plan subject to COBRA, now may be a good time to review your complianc...
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May 15, 2012
Hold off posting new employee rights notice
Employers can hold off on making room for a new poster informing employees of their rights under the...
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May 11, 2012
New FAQs Address SBC Notice
The Department of Labor (DOL) has released a new set of Frequently Asked Questions relating to the n...
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Workers Compensation

Workers Compensation protects your employees should an injury occur during the course of employment. Payments are made to the injured party and can consist of medical payments, loss of wages or therapy.

All states require all employers to carry Workers' Compensation insurance and each state has individual laws that must be met.

At the very minimum, Workers' Compensation insurance policies will cover an employee's medical expenses and reimburse him or her for some percentage of lost wages.

Almost all states are "open market", which means the coverage is underwritten by private insurers; and some states are "closed" or "monopolistic" - the coverage is underwritten by a state-sponsored fund (ND, OH, WA, WV, WY). In states that are open, rates can vary between insurance carriers depending on the type of business the carrier is attempting to attract. In an open market, the rates for workers' compensation are competitive.

Employers with one or more employees are subject to the provisions of their states Disability Benefits Law. This law provides benefits to employees who may be become disabled because of injuries/sickness off the job or that may arise from other conditions such as pregnancy. Payments for these types of benefits are only allocated for the payment of wages... unlike that of workers’ compensation which provides payment for medical costs.

Rates for these policies are dependent on the degree of hazard that each occupation carries. Each occupation is coded and defined by state laws. Premiums are determined by the amountof payroll in each occupation code and is subject to annual audit for verification.

 


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