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47 Cards in this Set

  • Front
  • Back
How does Worker's Compensation protect employers and fellow workers?

By limiting the award that an injured employee can recover from an employer.
Do federal and state laws require employees to keep up with Worker's Compensation?

Yes.
Who must be notified by mail when an injured worker presents for the first visit without a written referral from the employer?

The employer.
The first injury report form is completed how many times?

Four times (quadruplicate)

Does the worker have to be on the work grounds to qualify for worker's compensation?

No.

All providers are required to do what?

Accept Worker's Compensation in full.

Why are medical treatment claims the easiest to process?

Because they are filed for minor injuries or illness.

Comprehensive records of all vaccinations and any accidental exposure incidences must be retained for how many years?

20

What does 'permanent disability' refer to?

An employee's diminished capacity to return to work.

OSHA was created to protect who?

Employees

Schedule loss of use compensation is limited to what amount of time?

A certain amount of weeks

The first report of injury form does not contain what?

A signature line.

Who should personally sign all the original and photocopies of progress reports before they are filed?

The physician.
If an employer wants to challenge the legitimacy of a claim, what must be filed anyway?

An injury report.
What is a narrative progress/supplemental report filed for?

To document any significant change in the worker's medical or disability status.
What is sent to coal minors who have been permanently disabled due to pneumoconiosis?


Monthly benefit checks

What does the Office of Worker's Compensation Programs provide?


-Wage replacement benefits


-Vocation rehabilitation


-Medical treatment

The Energy Employees Occupational Illness Compensation Program provides benefits to who?

Employees of the Department of Energy

OWCP programs include what?

Energy Occupational Illness Compensation Program and the Federal Black Lung Program.

The Department of Labor manages programs designed to prevent work-related injuries and illness which include what?


-Mine Safety and Health Administration


-Occupational Safety and Health Administration


-Jones Act


The Division of Federal Employee's Compensation Act (FECA) processes what?

Medical expenses and compensation benefits to injured workers and survivors.

How are survivor benefits calculated?
According to the employee's capacity at the time of illness or injury.

The Longshore and Harbor Worker's Compensation Program covers who?

Workers under contract with the US government for defense projects outside the continental US

What is the employee's health care provider responsible for?

Determining the extent of the disability of the employee
What is the State Insurance Fund?

A quasi-public agency that provides workers' compensation insurance coverage to private and public employers.
What are some examples of on the job injuries?


-Employee is injured while dropping off lab samples to the local laboratory


-Employee attending an out of state conference is involved in a car crash


-Worker slips on ice when leaving the hospital after delivering something for the doctor.

What kind of payments does Workers' Compensation provide?

Weekly cash payments and reimburses health care costs for covered employees who develop a work-related illness or sustain an injury while on the job.
What are self-insurance plans required to do?

Set aside a percentage of funds to cover medical expenses and have sufficient capital (money) to qualify.
Office of Workers' Compensation administers programs that provide what?

Wage replacement benefits to federal workers.
What are survivor benefits?

Death benefits that are calculated at the time of injury or illness.
What is adjudication?

A dispute resolution process in which the appeals board makes a final determination.
What is deposition?
A legal proceeding during which a party answers questions under oath.
What are MSDS?
Material Data Sheets
Who is the first report of injury filed with?

State Workers' Compensation Board/Commission
What type of program is the Energy Employees Occupational Illness Compensation Program?

A federal program
What is the Workers' Compensation Board of Commission?

State agency responsible for providing payments to dependents of the deceased covered worker.
What is budget chargeback?
The transfer of funds from responsible federal agencies budget to the DFEC.
Who is the compensation file created for?

Established patients injured on the job.
What is the Federal Employment Liability Act?

A statue that provides railroad employees with protection from negligence.
Employer fraud is committed by who?

An employer who misrepresents payroll amounts
what is arbitration?

A dispute resolution process made by an impartial person with no judicial powers.
State Insurance of Compensation Fund is the what?
Fiscal agent designated by state law and the corporation involved
When does Workers' Compensation not pay?

When an employee was negligent in their work.
What are two benefits for the employer who incorporates managed care into the Workers' Compensation Program?


Managed care that protects human resources and reduces workers' compensation costs

What does the Department of Labor manage?
Mine Safety and Health Administration and OSHA which exist to prevent work-related Injuries and illness.
How do employees qualify for workers' compensation?

If they are injured on the while working within the scope of their job description or doing something the employer requested or develop a disease that can be directly linked to their work environment

When were US federal mine safety laws enacted?

1911