Questions And Answers 100% Correct.
State workers compensation laws are no-fault systems. T/F - ANSWERTrue
Employer purchase of workers compensation insurance is voluntary in all state but
Texas and New Jersey. T/F - ANSWERFalse; With the exception of Texas and new
Jersey, all states have made employer purchase of workers compensation insurance
mandatory.
One advantage of workers compensation to employers is predictable costs. T/F -
ANSWERTrue
List 4 states that have monopolistic funds. - ANSWERNorth Dakota, Ohio, Wyoming,
Washington
List 2 states where workers compensation is elective for employers. -
ANSWERTexas and New Jersey
Both item 3A and item 3C of the information pages of a WC policy list the states the
policy covers. Explain the difference between these two items. - ANSWER3A
triggers WC insurance for the state or state listed in which the policyholder currently
has ongoing business. 3C lists all of other states except those listed in 3A and
monopolistic states that the policyholder may conduct business during the policy
term.
What is the experience modifier, and what is its purpose? - ANSWERThe experience
modifier reflects employers claims experience, that is, the frequency and severity, or
cost, of claims. The experience modifier is used to calculate an employers premium.
What information does the General Section A provide in a WC policy? -
ANSWERExplains the policy's role as an insurance contract.
What information does the General Section B provide in a WC policy? -
ANSWERClarifies who in insured
What information does the General Section C provide in a WC policy? -
ANSWERDescribes workers compensation law
What information does the General Section D provide in a WC policy? -
ANSWERExplains in which states coverage applies
What information does the General Section E in a WC policy? - ANSWERExplains in
which states coverage applies and identifies workplace locations where coverage
applies
, Explain what Paragraph C in the General Section of the WC and EL insurance policy
does not apply to. - ANSWERParagraph C does not focus on federal workers or
federal workers compensation laws.
What is the correct compensation category for the following benefit: Reasonable and
necessary treatment for an injury - ANSWERMedical
What is the correct compensation category for the following benefit: Compensation
for types or permanent injury - ANSWERDisability
What is the correct compensation category for the following benefit: Compensation
for lost wages - ANSWERDisability
What is the correct compensation category for the following benefit: Financial
support for beneficiaries - ANSWERDeath
What is the correct compensation category for the following benefit: Restoration of
an employee's physical capacity - ANSWERRehabilitation
What are the medical and disability benefits that are associated with workers comp
based on? What are their time limits? - ANSWERWC would pay medical costs for all
reasonable injuries, with no time limits. Disability benefits are based on an injured
employee's income and are limited to the extent of their disability.
Summarize the purpose of paragraph B in Part One of the WC and EL insurance
policy. - ANSWERFollowing the workers compensation law that applies, paragraph B
expresses the insurer's promise to pay required benefits promptly.
What type of employers liability claim applies to the following scenario: Some key
safety rules are being ignored at Company XYZ- the insured. A company employee
is fatally injured in a job-site accident. The employee's widow and children sue the
employer for loss of the care and companionship of their husband and father -
ANSWERCare and Loss of Services Claim
Which endorsement on a WC policy would you use to cover employees who are the
masters or crew of a vessel? - ANSWERMaritime Coverage Endorsement
Which endorsement on a WC policy would you use to cover employees who load or
unload ships? - ANSWERLongshore and Harbor Worker Coverage Endorsment
Which endorsement on a WC policy would you use to cover employees who are not
explicitly covered by the workers compensation law? - ANSWERVoluntary
Compensation Endorsement
Which endorsement on a WC policy would you use to cover repariation expenses of
an employee injured overseas? - ANSWERForeign Workers Compensation
Coverage Endorsement