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AdjusterPro 9 Questions And Answers With Verified Solutions Rated A+ Latest Updated 2024
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AdjusterPro 9 Questions And Answers With Verified Solutions Rated A+ Latest Updated 2024
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AdjusterPro 9 Questions And AnswersWith Verified Solutions Rated A+ Latest
Updated 2024
Worker's Compensation ( WC) - ANSWER✔✔ -a form of insurance that covers
employees who become injured while acting under the scope of their employment
- can cover both medical costs and lost wages resulting from injury or disability
- WC is primary coverage meaning it pays before other policies
- seen as an exclusive remedy meaning that an employee does not have the right to
sue his employer if the injury is covered under WC
- WC is a no fault policy
Worker's Comp Laws: State Specific - ANSWER✔✔ • Monopolistic states:
requires employers to buy WC coverage directly from the state's designated WC
program
• Competitive State Fund: a state-owned and operated WC program that competes
with private insurance carriers, employers choose which they prefer
• Georgia: no state fund, only private companies offer WC, all WC insurers must
follow the same state laws
WC: Compulsory vs Elective - ANSWER✔✔ Compulsory: worker's comp is
required
Elective: employers and employees may opt out of workers' comp
• if employer opts out, common law defense are lost and employer will not be
allowed to argue that: Injured worker's negligence caused the injury, fellow
worker's negligence caused injury, injured worker knew danger and accepted it
• if both employer and employee opt out, employers lose common law defenses
, Worker's Comp is Compulsory in GA: - ANSWER✔✔ - all employment
relationships must be covered
- exceptions: companies with fewer than three employees, independent contractors,
taxi cab drivers, prison inmates doing community service, farm laborers, domestic
servants, real estate agents, amateur sports officials
Benefits to Employer of Worker's Comp - ANSWER✔✔ - the employer's sole
responsibility is to pay premiums or in the case of self insurance, pays the benefits
to the injured employee
Employee - ANSWER✔✔ any person in the service of another under contract of
hire, written or implied. This includes: minors, firefighters, police officers,
emergency & rescue personnel, elected county officials, and members of the GA
national guard
Employer - ANSWER✔✔ an individual, firm, association, or corporation engaging
in business and using the services of another for pay. This includes: state
government, county govt, and school districts
Worker's Comp covers: - ANSWER✔✔ - injuries and death occurring in normal
course of work
- infections or diseases caused by work-related injury
- occupational diseases caused by hazardous jobs
Injury ( in WC insurance) Def - ANSWER✔✔ - personal injury or death caused by
accident
- infection or disease naturally arising from an accident
Accident Def - ANSWER✔✔ an unusual, sudden, and unexpected event or result
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