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What are my rights under workers compensation in California?
The workers compensation system is based on a trade-off between employers and employees. Employees are entitled to receive prompt, effective medical treatment for on-the-job injuries or illnesses no matter who is at fault and, in return, are prevented from suing employers over those injuries.
What is the 90 day rule for workers comp in California?
If the claims administrator doesnt send you a letter denying your claim within 90 days after you filed the claim form, your claim is considered accepted in most cases. Q. Is the claims administrator required to pay a penalty for delays in temporary disability payments?
How does workers compensation work in California?
In California every employer is required to purchase workers compensation insurance and, if an employee gets hurt, the insurance company will pay out the benefits to the injured individual. That means the states workers compensation benefits are financed by the business owners who paid for their policies.
What is not covered under workers compensation?
What is not covered by workers compensation is any injury that occurs outside of the course and scope of employment. For workers compensation benefits to apply, the injury must occur during the injured victims work activities.
What is not considered a work-related injury?
If an employee is injured because he or she trips on the family dog while rushing to answer a work phone call, the case is not considered work-related. If an employee working at home is electrocuted because of faulty home wiring, the injury is not considered work-related.
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What benefit is not paid under workers compensation?
Illegal activities: Employee injuries due to illegal activities at the worksite are not covered by an organizations workers compensation insurance policy. Policy violations: Workers comp does not cover employees who are injured while violating company policies, procedures and protocols.
Which of the following injuries would not be covered under workers compensation insurance?
Injuries suffered while an employee is intoxicated or using illegal drugs. Injuries suffered while an employee was not on the job. Injuries that can be treated with basic first aid, such as cuts or scrapes.
What is not included in workers compensation?
If the accident occurs outside of the persons work duties, its not covered by workers compensation. Other kinds of injuries are not covered by workers compensation, including injuries caused during the commute to work and injuries caused by the employees own intoxication while on duty.
Related links
Reporting a Claim, Medical Treatment and Follow-up
Immediately report the injury to the Sedgwick workers compensation injury report line at 877-6UC-RPRT (877-682-7778) and your local workers compensation
If you dont report your injury within 30 days, you could lose your right to receive workers compensation benefits. Get emergency treatment if needed. If its
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