ADJUSTER'S EXAM CH. 9:
WORKERS' COMPENSATION
CORRECT 100%
Workers' Compensation Insurance - ANSWERInsurance providing a form of
coverage which provides protection for employees injured as a result of their
employment
Rehabilitation/Restoration Benefits - ANSWERBenefits that aid injured worker to
recuperate faster (and helps employer since injured employee will return to work
faster)
Part II Coverages - ANSWERCare & loss of services, third party-over, consequential
BI, and dual capacity
Workers' Compensation Policy Parts - ANSWERPart I (Workers' Compensation) &
Part II (Employers' Liability)
Basic Limits of Liability - ANSWER$100k/accident, $100k/occupational disease,
$500k/aggregate for occupational disease
Employer's Duties of Care - ANSWERProviding a safe work space for employees,
providing safe tools & equipment, providing competent fellow employees, making
employees aware of any inherent dangers in the workplace, and creating & enforcing
rules for safety of all employees
Exclusive Remedy - ANSWERAn injured employee gives up the right to sue
employer in exchange for WC benefits, UNLESS the wrong was willful, malicious, or
based on fellow employee's negligence in operation of motor vehicle
Compensable Injury - ANSWERAn injury that was caused by accident, arose out of
employment, & that occurred in course of employment
Compensable Disease - ANSWERA disease that generally results from nature of
employment and that the exposure to which arose from employment
Part I Benefits - ANSWERMedical expense benefits, income benefits,
dependent/funeral expense benefits, rehab/restoration benefits
Medical Expense Benefits - ANSWERInsurer will cover unlimited reasonable medical
expenses regarding occupational injury
Income Benefits - ANSWERLoss of income/indemnity payments paid to qualified
injured or diseased employees
WORKERS' COMPENSATION
CORRECT 100%
Workers' Compensation Insurance - ANSWERInsurance providing a form of
coverage which provides protection for employees injured as a result of their
employment
Rehabilitation/Restoration Benefits - ANSWERBenefits that aid injured worker to
recuperate faster (and helps employer since injured employee will return to work
faster)
Part II Coverages - ANSWERCare & loss of services, third party-over, consequential
BI, and dual capacity
Workers' Compensation Policy Parts - ANSWERPart I (Workers' Compensation) &
Part II (Employers' Liability)
Basic Limits of Liability - ANSWER$100k/accident, $100k/occupational disease,
$500k/aggregate for occupational disease
Employer's Duties of Care - ANSWERProviding a safe work space for employees,
providing safe tools & equipment, providing competent fellow employees, making
employees aware of any inherent dangers in the workplace, and creating & enforcing
rules for safety of all employees
Exclusive Remedy - ANSWERAn injured employee gives up the right to sue
employer in exchange for WC benefits, UNLESS the wrong was willful, malicious, or
based on fellow employee's negligence in operation of motor vehicle
Compensable Injury - ANSWERAn injury that was caused by accident, arose out of
employment, & that occurred in course of employment
Compensable Disease - ANSWERA disease that generally results from nature of
employment and that the exposure to which arose from employment
Part I Benefits - ANSWERMedical expense benefits, income benefits,
dependent/funeral expense benefits, rehab/restoration benefits
Medical Expense Benefits - ANSWERInsurer will cover unlimited reasonable medical
expenses regarding occupational injury
Income Benefits - ANSWERLoss of income/indemnity payments paid to qualified
injured or diseased employees
