Workers' Compensation Insurance Claims: What Group Health Insurance Won't Cover

Many business owners are confused about whatthe job when he was involved in his daily routine, so
group health insurance and workers' compensationworkers' compensation will defray his medical costs
insurance will cover. If you can offer both types ofand lost wages until he can return to work.
coverage as part of a comprehensive benefitsSituation #3: Your employee suffers a closed-head
package to your employees, you will be offering theinjury due to a car accident.
best combination of products your company canIn this situation, it depends entirely on the
provide. In addition, you will be staying within the lawcircumstances surrounding the accident. If your
and protecting your bottom line.employee was driving to the mall on the weekend
Following are three situations. We will describe whichand suffered an accident in his personal vehicle, then
kind of insurance your employee will need to use.group health insurance will defray his medical costs
Situation #1: Your employee is home sick with strepuntil his personal insurance company can file a claim
throat.against the driver who struck his car.
In this situation, your employee has contracted aIf this happened on the job in a company vehicle,
bacterial infection that is commonly passed from oneyour employee can file a workers' compensation claim
person to the other. He will need to visit a doctor toto defray his medical costs and lost wages.
get antibiotics and will probably be out of work forOffering workers' compensation insurance is required
5-7 days.by law in every state, no matter what your
In this case, your employee will use his group healthcompany size. Group health insurance is not a
insurance when he visits the doctor and fills hisrequirement, but it does go far in attracting high
prescription. Since this is not a work-related injury,quality and loyal employees to your company. As
group health insurance will defray these medical costs.medical costs rise, most people are looking for a
Situation #2: Your employee lifts a heavy object andcost-effective solution to their personal medical
suffers a back injury.charges. A group insurance policy is the perfect
In this case, your employee may have been negligentsolution; because it's inexpensive and pre-existing,
or careless when lifting. He may not have usedconditions do not apply.
proper lifting procedures, and he may not have beenA specialized insurance carrier can work with you to
wearing a back belt when the injury occurred. But hedevelop a competitive benefits package for your
needs to see a doctor, may be out of work on bedwork force that is still reasonable for your company's
rest for a few weeks, and may need to startbudget. Since workers' compensation coverage
physical therapy before he can return to work.usually eats up 50% of the company insurance
If this happens, your employee will be able to file abudget, working with a carrier to find cost-effective
workers' compensation claim. This injury occurred onsolutions is critical to your bottom line.