WC Basics
Who is responsible for providing worker's compensation insurance?
Who are Employers
What document must an employee complete to officially start a workers' compensation claim?
What is a claim form or injury report
Which benefit provides compensation to the family of a worker who dies due to a workplace injury?
What are Death Benefits
Which state is ex parte?
What is Vermont
What is the most common type of workplace injury?
What are Sprains and Strains
What type of insurance is workers' compensation considered?
What is no-fault insurance
This type of injury necessitates an MCU referral when an IW remains OOW and the mechanism of injury is described as "wedged between."
What is crush or pinning injury
Which state does not require an IW to RTW LD if they chose not to?
What is Rhode Island
Which state agency typically handles disputes related to workers' compensation claims?
What is workers' compensation board or commission
What is the purpose of a Functional Capacity Evaluation (FCE) in the rehabilitation process?
What is to assess an injured worker's ability to perform work-related tasks
This type of investigation focuses on verifying that the claimant was actually performing work duties at the time of the alleged injury
What is "arising out of and course of employment" investigation
This formal document is issued when an insurance carrier determines a claim is not compensable and explains the specific reasons for denial.
What is Notice of Denial or Controversion Notice
This benefit is paid when an injured worker has reached maximum medical improvement but has a permanent loss of function that affects their earning capacity.
What are permanent partial disability benefits?
This state was the first to enact a workers' compensation law in 1911.
What is Wisconsin
This syndrome may present with objective findings such as temperature changes, skin integrity issues, skin color changes, and possible muscle atrophy of the affected limb.
What is Chronic Regional Pain Syndrome (CRPS) or Regional Sympathetic Dystrophy (RSD)?
These three types of benefits are typically provided under workers' compensation?
What are wage loss, medical, and permanency (depending upon injury and/or jurisdiction)
This complex legal doctrine allows a workers' compensation carrier to deny a claim when an employee's injury results from their deliberate intention to harm themselves or violate a known company policy with conscious disregard for safety.
What is willful misconduct or intentional self-inflicted injury defense
What type of benefit is provided when an injured worker is unable to work at all for a temporary period?
What is temporary total disability benefits
Which federal act provides workers' compensation benefits to employees of private maritime employers?
What is The Longshore and Harbor Workers' Compensation Act
This is the NCCI code for a SLAP tear.
What is shoulder/fracture?
This federal database requires employers to report work-related fatalities and severe injuries within specific timeframes to OSHA.
What is OSHA 300 Log or OSHA reporting system
This complex claims scenario occurs when an employee is injured while working simultaneously for multiple employers, requiring determination of which carrier bears primary responsibility and how liability should be allocated.
What is dual employment liability determination or concurrent employment coverage analysis
This alternative to traditional workers' compensation insurance allows qualifying employers to pay claims directly rather than purchasing insurance.
What is self-insurance or self-insured status
This regulatory mechanism allows states to penalize employers who fail to carry required workers' compensation insurance through fines and stop-work orders.
What is uninsured employer penalties or compliance enforcement actions
This is the NCCI code for "spondylosis".
What is vertebrae/ all other specific or cumulative