What Is Workers’ Compensation Coverage?

Workers’ compensation coverage is a type of business insurance that helps pay for medical care and lost wages if an employee is hurt or becomes sick on the job. It helps keep your employees safe and your business protected from lawsuits. 
small business owner feels secure having workers compensation coverage

Key Takeaways

  • Workers’ compensation insurance helps protect your employees and your business.
  • Workers’ comp can help cover an employee’s medical treatment, ongoing care, disability benefits, lost wages and even funeral costs if they’re injured or become ill due to a work-related incident. It can also cover repetitive workplace injuries that develop over time, like carpal tunnel syndrome.
  • Most states require small businesses to carry workers’ comp insurance. Each state has different regulations, so be sure to check with your local laws to avoid penalties or lawsuits.

What Does Workers’ Comp Insurance Cover?

What is workers’ comp insurance? Workers’ compensation insurance coverage, also known as workman’s comp, provides benefits to employees who get injured or sick from a work-related cause. It covers the costs of medical treatment, ongoing care, lost wages, disability benefits and death benefits, like funeral costs.
 
As a business owner, workers’ comp reduces your liability for work-related injuries and illnesses. Without coverage, your employees can sue you to help pay for their medical costs or lost wages.
 
Most states require businesses with employees to carry workers’ comp coverage. However, each state has different rules, so where you do business will determine your workers’ comp insurance requirements. To learn more about workers’ compensation insurance coverages, get a quote today. With over 200 years of experience, we’re a trusted insurer that’s helped countless small business owners get the coverage they need.
female small business employee injury included in workers comp coverage

What Does Workers’ Comp Coverage Pay For?

What does workman’s comp cover? If your employee is injured on the job or suffers a work-related illness, workers’ compensation benefits can help cover their:
Workers’ comp provides coverage to help your employees pay for medical expenses resulting from a work-related injury or illness. These can include emergency room visits, necessary surgeries and prescriptions. For example, if one of your electricians cuts their hand at a customer’s home, workers’ compensation insurance coverage can help pay for their hospital visit.
Some work-related injuries or illnesses can be so severe that they need more than one treatment. For example, if your warehouse employee hurts their back while lifting heavy boxes, workers’ comp insurance can help cover their ongoing care costs, like physical therapy. Or if your employees develop carpal tunnel and need repetitive injury medical care, they’ll be covered by workers' comp coverage.
Workers’ compensation insurance coverage helps replace some of your employees’ lost income if they need time off to recover from a work-related injury or illness. For example, if your restaurant chef spills a pot of boiling water on her arm and can’t work for two weeks, workers’ compensation coverage can help replace some of her lost wages. These payments will be a percentage of your employees’ average weekly wage. It’s important to note that the percentages are set by state regulations, so they’re unique to each state and subject to minimum payments.
In the unfortunate event that your employee loses their life from a work-related accident, workers’ compensation coverage can help pay their funeral costs and provide death benefits to their beneficiaries.
Some work injuries may be severe enough to temporarily or permanently disable your employees. Workers’ compensation coverage can give your employees full or partial disability benefits to help pay their medical bills and replace some of their lost wages.
 
For example, let’s say your foreman injured his spine and is partially disabled because of a work-related accident. He’s unable to return to work and needs continued medical and financial support. Workers’ comp can help pay for his treatment costs and supplement some of his missed wages.
Workers’ comp can also help cover vocational rehabilitation if your employees can’t return to their previous roles. This may include job training or support to help them learn new skills. For example, if your warehouse worker injures their shoulder and can’t continue lifting heavy items, workers’ compensation can help pay for training for a different position that matches their abilities.
If one of your employees loses their life on the job, workers’ comp coverage can help pay death benefits to their family, including funeral costs.
Workers’ comp benefits aren’t available if your employees get hurt or sick outside of work. Benefits may also not be available for intoxicated employees who get into an accident or employees who intentionally hurt themselves.
 

What Scenarios Qualify an Employee for Workers’ Comp Coverage?

Workers’ comp coverage helps cover work-related injuries, illnesses or repetitive stress injuries:
Workers' comp benefits can help cover injuries that occur on the job. For instance, if your employee trips and breaks their ankle while working at your business, workers’ compensation can help pay their hospital bills. It can also help cover their physical therapy costs.
Sometimes, working conditions can expose your employees to harmful chemicals or allergens that lead to illness. If your employee gets sick due to a work-related incident or condition, workers’ compensation can help pay for necessary treatment costs and ongoing care.
Not all work-related injuries are the result of a single traumatic incident. Repetitive injuries, like carpal tunnel syndrome, can take months or years to develop. If your receptionist develops carpal tunnel syndrome after years of typing with poor ergonomics, workers’ comp can help pay for treatment costs and ongoing care bills.

How Much Do You Get From Workers’ Comp Benefits?

Your employees can receive workers’ comp benefits immediately following an accident. The exact benefits they receive will depend on:
 
  • The size of your business: Make sure to report the payroll for all your employees across all offices/locations so that your insurer can properly cover all your workers, whether you have two employees or two hundred, or more.
  • The risks your employees face: Working in a higher-hazard industry means a higher risk of accident and injury, which can be appropriately covered by your policy. For example, construction workers, roofers and steel workers have higher-risk jobs than retail workers, sales associates and teachers.
  • The state your business is in: Each state has different regulations, and some state laws require companies to carry a certain amount of coverage.
These factors affect small businesses differently. Our team of insurance specialists can help you figure out how much coverage you need to protect your employees and can answer any workers’ comp questions you may have.
 

How Does Workers’ Compensation Insurance Coverage Work?

Workers’ compensation is a no-fault system. This means injured or ill employees can receive compensation, but they give up their right to sue their employer. Workers’ comp can help protect your business by:
 
  • Providing disability benefits to employees who have work-related injuries or illnesses
  • Limiting your business’ liability in lawsuits for work-related injuries or illnesses
  • Making sure you’re following your state’s workers’ comp laws
  • Helping injured employees get back to work in their old role or a new one
The laws in your state will determine the details of your workers’ comp coverage, including:
 
  • The amount of benefits
  • Types of injuries that are covered
  • How benefits and care are provided
Some workers’ comp policies don’t provide coverage for multiple states or for workers who travel to different states. Workers’ compensation coverage is essential for each state where your employees work.
 

Requirements To Receive Workers’ Compensation Benefits

To receive workers’ compensation benefits, there are certain steps employers and employees need to take to file a claim. Keep in mind that the federal government doesn’t oversee workers’ compensation requirements - individual states do. This means the steps you need to take can vary depending on your area.
 
Generally, the sooner you file your claim, the faster your benefits will begin. That’s why it’s important to know how to file a workers’ comp claim and do it right away. Knowing how to file these claims can help you save time and money. Some information you’ll need to file a claim includes your:
 
  • Business name
  • Policy number
  • Account number
Employee information:
 
  • Social Security number
  • Date of birth
  • Address
  • Contact information
  • Emergency contact information
  • Marital status
  • Age
  • Gender
  • Hire date
  • Years in their current position
  • Wage information
Incident details:
 
  • Date
  • Address
  • Type of injury
  • The work or job being performed when injury occurred
  • Medical care received (if any)
  • Body part injured
  • Witnesses, including any photographs or video footage
If one of your employees is in a workplace accident or gets sick from their job, you can file a claim with The Hartford online or call us 800-327-3636.
 
 

Who Is Covered by Workman’s Comp Coverage?

As a business owner, it’s important to understand the requirements of workers’ comp for employers. Requirements vary from state to state. Some states have laws about workers’ comp for contractors, temps and interns.
 
Several factors, like specific roles and the size of your business, determine which employees need workers’ compensation coverage.
 
Some states don’t require workers’ compensation insurance coverages for:
 
  • Farmhands
  • Self-employed
  • Independent contractors with their own coverage
  • Family members under a certain age
  • Casual workers
  • Business owners, executive officers and partners
Depending on your state’s workers' compensation laws, workers’ comp plans may not cover an injury or illness that:
 
  • Happens in a fight your employee caused
  • Is intentionally caused by your employee
  • Happens to an employee who is intoxicated
  • Is emotional and has no physical trauma
  • Takes place during your employee’s commute
Workers’ comp doesn’t provide coverage if you intentionally harm an employee through:
 
  • Defamation
  • Fraud
  • A tort injury, like emotional distress
Workers’ comp also won’t help protect you if an employee sues your business for:
 
  • Malicious intent
  • Discrimination
  • Failure to promote
  • Wrongful termination
For cases like these, employment practices liability insurance can help cover your legal costs.
Most of The Hartford’s small business customers with less than $300,000 in payroll pay an average of $81 a month for workers’ compensation insurance. Some policies can start as low as $13 a month.** Keep in mind that the cost of workers’ compensation coverage varies depending on factors like your:
 
  • Payroll
  • Industry
  • Claims history
  • Type of work
  • State
small business owner enjoying their job understanding what is workman's comp insurance

How To Select the Right Workers’ Compensation Coverage for Your Business

At The Hartford, we have over 200 years of experience helping small business owners protect themselves from unexpected risks. Our claims specialists consistently receive top scores for satisfaction.* And, we offer flexible billing solutions, like Auto Pay and Payroll Billing, making it easy for customers to manage their policy.
 
Get a quote today and learn more about workers’ compensation insurance coverage.
 
 

This article provides general information, and should not be construed as specific legal, HR, financial, insurance, tax or accounting advice. As with all matters of a legal or human resources nature, you should consult with your own legal counsel and human resources professionals. The Hartford shall not be liable for any direct, indirect, special, consequential, incidental, punitive or exemplary damages in connection with the use by you or anyone of the information provided herein.

** Costs, premiums, and coverages mentioned are estimates and are not guaranteed. Actual cost, premium, and coverage are determined at the time of quote or issue and are specific to an individual risk. Premiums are based on information provided to The Hartford, including, but not limited to, underwriting and rating criteria. All examples included on this website or in an advertisement are intended for informational purposes only and are not an offer or a guarantee of premium or coverage. Coverage and products described are subject to the terms and conditions found in the policy contract. Any educational information provided about available coverages does not modify the policy language or imply that any claim is covered. Products are not available in all states or for all businesses.
The Hartford shall not be liable for any damages in connection with the use of any information provided on this page. Please consult with your insurance agent/broker or insurance company to determine specific coverage needs as this information is intended to be educational in nature.
 
The information contained on this page should not be construed as specific legal, HR, financial, or insurance advice and is not a guarantee of coverage. In the event of a loss or claim, coverage determinations will be subject to the policy language, and any potential claim payment will be determined following a claim investigation.
 
Certain coverages vary by state and may not be available to all businesses. All Hartford coverages and services described on this page may be offered by one or more of the property and casualty insurance company subsidiaries of The Hartford Insurance Group, Inc. listed in the Legal Notice.
 
The Hartford Insurance Group, Inc., (NYSE: HIG) operates through its subsidiaries under the brand name, The Hartford, and is headquartered in Hartford, CT. For additional details, please read The Hartford’s Legal Notice.
 
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