Category Archives: Workers’ Comp’ Basics

Monday Workers’ Compensation Q&A: My employer paid my salary, do I still have to file a claim?

QUESTION: MY EMPLOYER PAID MY SALARY WHILE I WAS INJURED AND OUT OF WORK. DO I STILL HAVE TO FILE A WORKERS’ COMPENSATION CLAIM?

ANSWER: THERE IS MORE TO A CLAIM THEN PAYMENT WHILE OUT OF WORK ?

Joe’s boss, Mike was a great guy. In fact, when Joe got badly hurt at work and was out for weeks, Mike paid Joe’s salary every week. When Joe got back to work, he hesitated filing a Workers’ Compensation Claim. After all, Mike had paid his salary the weeks he was out. And Joe didn’t want to appear ungrateful or greedy. What should he do?

File, Joe!! File!!!

If Mike drew Joe’s salary paid from Joe’s accrued sick or vacation time, Joe would not get that time back unless he filed a claim. That means the eight weeks of vacation and sick time Joe had coming to him had been put toward the time he spent recuperating at home. Unless Joe submitted a claim, he’d have to start from scratch to build up vacation and sick time.

“Aside from the monetary award, there is lifetime medical coverage for a Workers’ Compensation Claim.”

The payment of wages is only a small portion of a Workers’ Compensation Claim and NOT the only thing Joe is entitled to. In an earlier column, an injured worker can make a claim for a schedule loss of use if an extremity is injured even if salary was paid.

More importantly, Continue reading

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Monday Workers’ Compensation Q&A: I didn’t tell my boss within 24 hours…

Don't hesitate to report your accident, even if it's been days since it happened!

QUESTION: I DID NOT TELL MY BOSS WITHIN 24 HOURS ABOUT THE ACCIDENT I HAD AT WORK. DOES THIS MEAN I CANNOT COLLECT WORKERS COMP?

ANSWER: THERE IS NO 24-HOUR REPORTING REQUIREMENT UNDER THE COMPENSATION LAW

Joe was working on one of the old boilers at the old Jefferson High School when he tripped over a wrench. Banged up his knee pretty bad. After the ER visit, the X-rays, the knee brace, and the really good painkillers, Joe went back to work intending to let his boss know of his injury and to file Workers Comp paperwork. But one thing led to another and it wasn’t until three days later that Joe remembered he hadn’t told his boss or had filed any paperwork.

Joe panicked. Wasn’t there a rule that in order to file a Workers Comp claim, you had to have told your boss within 24 hours of the accident? That ER bill was steep and paying out of pocket would really blow his already-stretched paycheck. Joe was so pissed he would have kicked the wall if his knee didn’t hurt so much.

Don’t give up, Joe! File, Joe!! File!!

An injured worker does not have to notify his or her employer within 24 hours to collect benefits under the Workers Compensation Law. He or she may have to notify an employer within 24 hours to make sure they are entitled to certain benefits from the employer or their union. BUT the Compensation Law is different. It requires that notice of the injury be provided within 30 day of the accident. This notice can be provided orally or in writing.

Keep in mind it is ALWAYS better to Continue reading

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Monday Workers’ Compensation Q&A: I am already getting Social Security and a Pension…

QUESTION: IF I AM GETTING SOCIAL SECURITY DISABILITY (SSD) AS WELL AS A PENSION DOES THAT MEAN I CANNOT GET WORKERS’ COMPENSATION AS WELL?

ANSWER: YOU CAN GET STILL GET WORKERS’ COMPENSATION WHEN YOU ARE RECEIVING A PENSION AND SSD.

At 55, Joe was a walking museum of every accident he had ever had in his 30 years of working the job. That last accident put him out of work for almost two years. Luckily, he filed all the paperwork, submitted all the forms, crossed all his ‘Ts’ and received Social Security Disability (SSD). But after three decades of hard work, Joe had had enough and so he started the paperwork to retire. But he was worried. He had planned on applying for Workers’ Compensation, but he wasn’t sure he’d could since he was already on SSD and about to receive his pension. What should he do?

File, Joe! File!!

The combination of Workers’ Compensation, Social Security Disability and a pension is called the Trifecta, a Triple Crown of benefits, so to speak. Continue reading

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Monday Workers’ Compensation Q&A: I didn’t lose time from work…

Even if you didn't lose time from work, you can still file a claim.

QUESTION: WHEN I GOT HURT, I DID NOT LOSE ANY TIME FROM WORK. SHOULD I BOTHER TO FILE A WORKERS COMPENSATION CLAIM?

ANSWER: LOST TIME IS NOT A REQUIREMENT TO FILE A CLAIM

Joe was working a plumbing job at a construction site. He was tightening a connection to an S pipe when the wrench slipped and so did his wrist. Lucky for him, it was only a fracture. The ER was quiet and empty and two hours Joe was back on site, supervising Mike on pipe installation and making sure the job got done. Sure he would have to do some physical therapy on his wrist but that would happen on the weekends. He wouldn’t lose a day of work as he healed.

As he and Mike finished up their day’s work, Mike mentioned to Joe that he should file a Workers’ Comp claim. “But why?” asked Joe. “I was only gone for two hours and the physical therapy will happen on Saturday. Don’t you have to be out for like weeks to file a claim? Nah… I’m not going to file.”

File, Joe! File!!

You don’t have to miss a day of work in order to file a successful claim. Continue reading

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Monday Workers’ Compensation Q&A: I told my supervisor about the accident, is that enough?

QUESTION: I TOLD MY SUPERVISOR ABOUT THE ACCIDENT BUT I DID NOT SUBMIT AN ACCIDENT REPORT. AM I GOOD TO GO WITH THE VERBAL NOTICE?

ANSWER: ALWAYS REPORT AN INJURY IN WRITING

Joe was working a construction job when Mike accidentally beaned Joe on the head with a 2X4. After seeing a couple of Tweety Birds and a whole bunch of stars, Joe went down to his supervisor’s station and told him he had just had an accident. Then he went off to the ER to make sure he was not seriously injured, relieved he had taken care of business at the job site. All he had to do now was get better.

No, Joe! No!

Yes, Joe satisfied the notice requirement. However, Joe was NOT good to go.

Supervisors sometimes have a funny habit of forgetting conversations or oral notices of an accident. Even if Joe’s supervisor were his best friend, when push came to shove there could be no telling what the supervisor might say in Court front of a Judge.

Furthermore, Continue reading

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Work Injury During Sex: Ridiculous?

This post comes to us from our colleague Charlie Domer in Wisconsin. While the topic of sex provides some entertaining context, Charlie does point out that, when you are traveling for business, even injuries that happen during non-work-related activities may be covered by workers’ compensation. While this article addresses Wisconsin law specifically, New York law is very similar.

Work Injury During Sex: Ridiculous? Not really. From time to time lurid headlines raise eyebrows about employees who claim worker’s compensation for injuries occurred during sex. The most common response is “How ridiculous . . . The employee is not being paid to have sex (unless she is a hooker).”

A most recent headline notes an Australian woman who had hotel sex with an acquaintance and was injured when a wall-mounted light fell on her during the encounter. She sought worker’s compensation because the incident occurred during a business trip and she claimed having sex on a business trip is “an ordinary incident of life” that entitles her to payment under worker’s compensation law.

Traveling employees are deemed to be in the course of employment at all times while on a trip

Traveling employees receive broad worker’s compensation coverage Continue reading

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