Chapter 15 - Workers Compensation

Name two kinds of statutes under worker's compenstation?

a. Federal Compensation
b.State Compensation

An unexpected, unintended event that occurs at a particular time and place, causing injury to an individual not of his or her own making, is called an/an

accident

Maria Cardoza work in the plastics manufacturing company and inhales some fumes that cause Bronchitis, Because this condition is associated with her employment, it is called a/an

Occupational illness or disease

Name the federal worker's compensation acts that cover workers

a. Worker's Compensation law of the District of Columbia.
b. Federal Coal Mine Health & Safety Act.
c. Federal Employee's Compensation Act.
d. Longshore & Harbor Worker's Compensation Act.

State compensation laws that required each employer to accept its provisions and provide for specialized benefits for employees who are injured at work are called

Compulsory Law

State Compensation laws that may be accpeted or rejected by the employer are known as

Elective Law

State five methods used for funding worker's compensation

a. Local Govt. regulations
b. Self Insurance
c. Private Insurnace
d. Compentitve State Fund
e. State Specific Fund

Who pays the worker's compensation insurance preminums?

Employer and or Company

What is the time limit in your state for submitting the employer's and/ or Physicians' report on an industrial accident ?

Immediately

When an employee with a preexisting condition is injured at work and the injury produces a disability greater than what been caused by the secound injury alone, the benefits are derived from an/a

Second Injury Fund/ Subsequent Injury Fund

Name jobs that may not be covered by worker's compensation insurance

a. Domestic or Casual Employee
b. Laborers
c. Babysitters
d. newspaper vendors or distributors
e. Charity workers
f. Gardeners

What is the minimum number of employees per business compensation insurance?

1

What are the five types of workers' compensation benefits

a. Medical Treatment
b. Temporary Disability indemnity
c. Permanet Disability indemintiy
d. Death benefit for survivors
e. rehab benefits

Who can treat industrial injury ?

Physician

What are the three types of workers' compensation claims and the differences among them?

a. Non -Disability Claim: involves a minor injury in which Pt. is seen by the physican but able to continue working.
b. Temporary Disability Claim: They can not work for a certain amount of time.
c. Permanent Disability Claim: It unable to go back to work

Weekly temporary disability payments are based on

Percentage

After suffering an industrial injury, Mr. Fields is in a treatment program in which given he is given real work tasks for building strength and endurance. This form of therapy is called:

Hardening

When an industrial care reaches the time for rating and disability, this is accomplished by what state agency?

State's Industrial Commission

My an injured person appeal his or her case if he or she is not satisfied with the rating? And if so, to whom does he or she appeal?

YES" Workers Compensation Board or Industrial Accident Commission.

When fraud or abuse is suspected in a worker's compensation case, the physican should report the situation to:

Insurance Carriers

Explain third- party subrogation

The insurance carrier transfers the claim to the third party who they choose and then the third party pays in full.

When an individual suffers a work - related injury or illness, the employer must complete and send a form called an _______________ to the insurance company and worker's compensation state offices, and if the employee is sent to a physician's office for m

Employer's Report of Occupational Injury.
Medical service order

Employers are required to meet health and safety standards for their employees under federal and state status known as the:

Occupational Safety and Health Administration (OSHA) Act of 1970.

The process of carrying on a lawsuit is called :

Litigation

A processing during which an attorney questions a witness who answers under oath but not in open court is called a/an

Deposition

The legal promise of a patient to satisfy a debt to the physician from proceeds received from a litigation case is termed a/an:

Promissory note

When a physician treats an industrial injury, he or she must complete a First Treatment Medical Report or Doctor's First Report or Occupational Injury or Illness a send it to the following.

Insurance Carrier