Nov 27, 2017
What Injuries are Covered Under Workers’ Comp Claims
Workers’ compensation law is designed to cover a wide swath of injuries
in order to give employees some sort of recourse in exchange for not being
able to sue their employers. Loads of injuries are automatically covered,
but nonetheless some are still excluded. When you have been injured on
the job and are considering a worker’s compensation claim, the first
step is to make sure your injury would be covered. Here is a brief summary
of the conditions that are and are not covered by workers’ compensation laws.
Workers’ compensation law essentially covers injuries that meet two
different criteria: injuries that “arise out of” and “in
the course of” employment. In other words, your injury must have
occurred while you were on the job and have occurred as a result of your
job. Seems simple, right? Well it’s actually surprisingly complicated.
There aren’t really any clear-cut tests for either of these requirements,
but generally injuries that occur while you were at work and working are
covered as part of workers’ compensation.
Types of Injuries
Here are some of the commonly-covered types of injuries:
Aggravated pre-existing conditions: Employers often use pre-existing conditions as an excuse to deny claims.
However, while they are not required to pay for any pre-existing conditions
themselves, they are required to cover any re-aggravation of pre-existing
conditions until you have recovered to the point where you were before
the re-aggravation injury.
Occupational diseases: Occupational diseases are illnesses or other conditions that may be acquired
due to a risk factor associated with your job. One of the most well-known
risk factors is asbestos, which leads to mesothelioma. However, these
injuries can also be psychological, including nervousness due to long-term stress.
Off-Work activities: Does your company have an annual picnic? What about a Christmas party?
These are all technically not part of your normal work duties, but they
are considered a work-related function, and that means any injuries you
sustain at that event could possibly be covered. This is especially true
if the injury happens while the event is being held on company property.
Off-work aggravation of a work injury: If you receive a work injury and then re-aggravate it while not at work,
your employer is still required to cover the re-aggravation. However,
if the injury occurs due to negligence that breaks the connection with
the previous condition, then the injury is no longer covered.
Pranks & horseplay: Injuries sustained through pranks, horseplay, or otherwise reckless behavior
while on the job are not generally covered as part of workers’ compensation.
However, any injuries to third parties who were not involved with the
prank in any way but who happen to be injured as a result of the prank
Injured on the job?
Call an Atlanta workers’ compensation attorney from The Law Offices of Nathanial F. Hansford, LLC today! Dial 770-922-3660
for a free consultation.