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Workman's Compensation Coverage
| This is only a sample of coverages available. You should always go over specific policy details with your agent or look at your declaration pages to determine the specifics of your insurance coverage. |
Workers Compensation Insurance
This coverage agreement obligates the insurer to pay all compensation and other benefits required by the insured by the
workers compensation law or occupational disease law of any state listed in the policy. Coverage applies to bodily injury by
accident and by disease.
Coverage (A) shows no dollar limit for benefits provided since any applicable limit would be those established within the law.
Benefits under coverage (A) are paid to the employee without regard to fault.
Employers Liability
This coverage protects employers for their legal liability for bodily injury by accident or disease to an employee arising out of and
in the course of the employee's employment when not covered under the workers compensation law. Before benefits are paid
under this coverage, the employee must prove the employer is liable for the injury.
Bodily Injury by Accident
This amount is the most an insurer will pay under coverage (B) for all claims arising from any one accident, regardless of how
many employees are involved in the accident. The standard limit is $100,000 for any one accident, which can be increased.
Bodily Injury by Disease (Policy Limit)
This is the aggregate limit the insurer will pay for under coverage (B) for all claims sustaining bodily injury by disease during the
policy period. The standard policy limit is $500,000, which can be increased.
Bodily Injury by Disease (Each Employee)
This amount is the most an insured will pay under coverage (B) for all claims sustaining bodily injury by disease to any one
employee. The standard limit of liability for each employee is $100,000, which can be increased.
Other State Insurance
This provides workers compensation coverage's if the insured expands operations into other states not declared at the time the
policy was issued or renewed. If the insured elects this coverage and operations begin in a state listed under other states, the
insurer provides the same coverage as if the state was declared in the policy at the time of the policy issuance.
Voluntary Compensation Endorsement
Workers compensation laws of most states exempt some types of employment from workers compensation benefits. This
endorsement amends the standard policy to provide coverage for employees with exempted occupations from the workers
compensation act. When the endorsement is added it does not make employees subject to workers compensation law, but it
obligates the insurance company to pay on behalf of the insured, and amount equal to the compensation benefits that would be
payable to those employees if they were subject to the workers compensation law of that state.
United States Longshore & Harbor Workers Endorsement (USL&HW)
This is a federal act, which is similar to the state workers compensation act. The federal act was designed to provide workers
compensation benefits to employees who work in maritime employment upon the navigable waters of the United States and who
are usually considered outside the scope of state workers compensation laws. When the USL&HWA endorsement is added to
the standard policy, it applies to work done in the states scheduled on the policy and extends the definition of the workers
compensation law to include the USL&HWCA
Executive Officers, Partners Exclusion Endorsement
In some states, workers compensation law allows an insured to include or exclude Executive Officers and Partners, or both, from
coverage. Adding this endorsement can designate the individuals not covered under the policy.
Experience Modification
This is a factor that deals with the rating of the policy. The Experience Modification figure is based on the insured's loss
experience. The factor is used to increase or decrease the manual rates of insurance.
Monopolistic States
There are five states that require all workers compensation insurance to be placed with their state fund. No private insurer is
allowed to write Workers Compensation Coverage in the five states: North Dakota, Ohio, Washington, Wyoming and West
Virginia.
This coverage agreement obligates the insurer to pay all compensation and other benefits required by the insured by the
workers compensation law or occupational disease law of any state listed in the policy. Coverage applies to bodily injury by
accident and by disease.
Coverage (A) shows no dollar limit for benefits provided since any applicable limit would be those established within the law.
Benefits under coverage (A) are paid to the employee without regard to fault.
Employers Liability
This coverage protects employers for their legal liability for bodily injury by accident or disease to an employee arising out of and
in the course of the employee's employment when not covered under the workers compensation law. Before benefits are paid
under this coverage, the employee must prove the employer is liable for the injury.
Bodily Injury by Accident
This amount is the most an insurer will pay under coverage (B) for all claims arising from any one accident, regardless of how
many employees are involved in the accident. The standard limit is $100,000 for any one accident, which can be increased.
Bodily Injury by Disease (Policy Limit)
This is the aggregate limit the insurer will pay for under coverage (B) for all claims sustaining bodily injury by disease during the
policy period. The standard policy limit is $500,000, which can be increased.
Bodily Injury by Disease (Each Employee)
This amount is the most an insured will pay under coverage (B) for all claims sustaining bodily injury by disease to any one
employee. The standard limit of liability for each employee is $100,000, which can be increased.
Other State Insurance
This provides workers compensation coverage's if the insured expands operations into other states not declared at the time the
policy was issued or renewed. If the insured elects this coverage and operations begin in a state listed under other states, the
insurer provides the same coverage as if the state was declared in the policy at the time of the policy issuance.
Voluntary Compensation Endorsement
Workers compensation laws of most states exempt some types of employment from workers compensation benefits. This
endorsement amends the standard policy to provide coverage for employees with exempted occupations from the workers
compensation act. When the endorsement is added it does not make employees subject to workers compensation law, but it
obligates the insurance company to pay on behalf of the insured, and amount equal to the compensation benefits that would be
payable to those employees if they were subject to the workers compensation law of that state.
United States Longshore & Harbor Workers Endorsement (USL&HW)
This is a federal act, which is similar to the state workers compensation act. The federal act was designed to provide workers
compensation benefits to employees who work in maritime employment upon the navigable waters of the United States and who
are usually considered outside the scope of state workers compensation laws. When the USL&HWA endorsement is added to
the standard policy, it applies to work done in the states scheduled on the policy and extends the definition of the workers
compensation law to include the USL&HWCA
Executive Officers, Partners Exclusion Endorsement
In some states, workers compensation law allows an insured to include or exclude Executive Officers and Partners, or both, from
coverage. Adding this endorsement can designate the individuals not covered under the policy.
Experience Modification
This is a factor that deals with the rating of the policy. The Experience Modification figure is based on the insured's loss
experience. The factor is used to increase or decrease the manual rates of insurance.
Monopolistic States
There are five states that require all workers compensation insurance to be placed with their state fund. No private insurer is
allowed to write Workers Compensation Coverage in the five states: North Dakota, Ohio, Washington, Wyoming and West
Virginia.
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Carlson, Mikuzis and Taylor, Inc.