Workers’ Compensation

Definitions
Worker’s compensation insurance All states and provinces require employers to pay benefits to employees with injuries or illnesses arising out of and in the course of employment (except for designated categories of employees). Benefits are scheduled in the laws, which also generally prohibit an employee from suing the employer for common law damages. Workers’ compensation laws ensure that employees receive adequate medical treatment and at least some compensation for injuries suffered on the job; at the same time, the liability of employers is limited. The basic categories of benefits are medical care, partial reimbursement for income lost due to disability, rehabilitation therapy if required, and survivors’ benefits in case of an employee’s death. Workers’ compensation insurance (WC) – U.S. Insurance that covers an employer’s responsibility to compensate injuries, illnesses, disabilities or death of employees, as prescribed by state workers’ compensation laws; coverage provided by Part I (prior to 1986, section A) of the standard workers’ compensation policy (NCCI form WC 00 00 00A). The insurance ordinarily covers legally imposed employers’ liability for medical and surgical treatment, disability benefits, rehabilitation therapy, and survivors’ death benefits.
Employers’ liability insurance – U.S. Insurance that covers an employer’s liability for bodily injury to employees occurring within the scope of their employment when that liability is not covered by workers’ compensation. Primary coverage is provided by Part II (before 1986, Section B) of a workers’ compensation policy, usually for a limit of $1 million. Self-insured employers are normally covered by an endorsement to their general liability policy. Excess coverage can be provided under most umbrella and excess liability policies. Employers’ liability coverage can be added to a workers’ compensation policy issued for specific states to provide coverage in additional states, including monopolistic states, by endorsement (NCCI form WC 00 03 03B). Aggregate excess workers’ compensation insurance – U.S. & Canada Insurance coverage for organizations that self-insure their workers’ compensation benefits. It indemnifies the insured for claims in excess of a specific annual aggregate retention. The coverage places a cap on the maximum amount the insured will have to pay during a twelve-month period. Coverage (i.e., who is covered, what accidents are covered, etc.) is based on the insurance provided by standard workers’ compensation policies. Top of page

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