Workers’ Compensation

California Workers’ Compensation Insurance

You are entitled to California Workers’ Compensation insurance if you are sustained an injury while doing your job. The state is one of many in the U.S. that requires businesses to carry this form of compensation to cover expenses incurred for treatment, as well as to provide wages while an employee is unable to return to the workplace. While you are entitled to this benefit, you have to file a claim on time.

In case you want to press charges against an employer, having worker’s comp can help take care of the legal fees. This form of insurance can also provide financial benefits for the family of a deceased worker.

What Is Covered?

With California Workers’ Compensation insurance, employees are protected when any of the following happen:

  • sustaining an injury after slipping on ice
  • getting injured while taking the stairs to the office
  • requiring a visit to the emergency room and needing recovery time
  • sustaining an injury caused by lifting a box, leading to the need for a doctor’s appointment, medication, and physical therapy
  • meeting a vehicular accident on the way to the office after meeting a client, leading to the need for hospitalization

When you have workers’ comp, you can get the financial assistance needed to treat your injuries. If an injury forces you to be out of work for a while, having workers’ compensation allows you to still receive earnings from your job while you’re recovering.

Filing Workers’ Compensation

For you to get paid California Workers’ Compensation insurance, you are required to do the following:

  • report the injury
  • file a claim with employer
  • file an application for adjudication of claim with the state’s Workers’ Compensation Appeals Board

Reporting the injury

One of the first things to do after sustaining an injury is to get medical treatment. In case of an emergency, you are free to choose where to be treated. In case your employer or their insurance company has a medical provider network, you may have to stick with a doctor who is in that particular network.

A successful filing for California Workers’ Compensation insurance requires that you inform your employer about your injury. This is done in writing and must be submitted within 30 days of sustaining the injury.

Filing a claim with employer

Your employer will give you a form after you have filed for a claim. You just have to follow the instructions found on the document. After which, you have to send that to your employer, who then forwards it to their insurance company.

After submitting the form, you must hear from the insurance company of our employer. This is important since insurance companies will be the ones paying for medical treatment. In other words, they have to give their blessing.

Filing an application for adjudication of claim

If you filed a claim with your employer, you will need to file an Application for Adjudication of Claim. This must be done within one year of sustaining an injury. Why is this important? It allows you to settle disputes associated with WCAB.

Knowing the steps is important in making a successful claim. However, you must remember that the process outlined above is bound by time. Meaning, you have to accomplish them within a given period.