What Does Workers’ Compensation Cover?

Get Great Coverage in Minutes
All it takes is a few clicks.
What Does Workers’ Compensation Cover infographic

All About Workers’ Compensation Coverage

Workers’ compensation insurance, also known as workman’s comp, provides benefits to employees who get injured or sick from a work-related cause. It also includes disability benefits, missed wage replacement and death benefits.
 
what does workers’ compensation cover Workers’ comp also reduces your liability for work-related injuries and illnesses. Without coverage, your employees can sue you for a work-related injury or illness to help pay for their medical costs or lost wages.
 
Most states require businesses with employees to carry workers’ compensation insurance. However, each state has different rules, so the state or states where you do business will determine your workers’ comp insurance requirements. It’s your responsibility to buy coverage through a licensed insurance company, like The Hartford.
 

What Does Workers’ Comp Cover?

If your employee suffers a work-related injury or illness, workers’ compensation benefits can help cover their:
 
  • Medical expenses
  • Lost wages
  • Ongoing care costs
  • Funeral expenses
These workers’ comp benefits aren’t available if your employee gets hurt or sick outside of work. Benefits may also not be available for intoxicated employees that get into an accident, or employees that intentionally hurt themselves.
 

Medical Expenses

Workers’ comp insurance provides coverage to help your employee pay for medical expenses related to a work-related injury or illness. This can include emergency room visits, necessary surgeries and prescriptions. For example, if one of your electricians cuts their hand at a customer’s home, workers’ compensation insurance can help cover their hospital visit.
 

Missed Wages 

Workers’ comp helps replace some of your employee’s lost income if they need time off to recover from a work-related injury or illness. So, if your restaurant chef spills a pot of boiling water on her arm and can’t work for two weeks, workers’ compensation coverage can help replace some of her lost wages.
 

Ongoing Care

Some work-related injuries or illnesses can be so severe that they need more than one treatment. For example, if your warehouse employee hurts their back while lifting heavy boxes, workers’ comp insurance can help cover their ongoing care costs, like physical therapy.
 

Funeral Costs

In the unfortunate event your employee loses their life from a work-related accident, workers’ compensation coverage can help cover their funeral costs and provide death benefits to your employee’s beneficiaries.
 

Illness

Sometimes, working conditions can expose your employees to harmful chemicals or allergens that lead to illness. If your employee gets sick due to a work-related incident or condition, workers’ comp insurance can help cover their costs for necessary treatment and ongoing care.
 

Repetitive Injury

Not all work-related injuries are the result of a single traumatic incident. Repetitive injuries, like carpal tunnel syndrome, can take months or years to develop. If your receptionist develops carpal tunnel syndrome after years of typing with poor ergonomics, workers’ comp can help cover treatment costs and ongoing care bills.
 

Disability

Some work injuries may be severe enough to temporarily or permanently disable your employee. Workers’ compensation coverage can give your disabled employees benefits to help pay their medical bills and replace some of their lost wages.
 
Let’s say your foreman loses the use of one of his legs and is partially disabled because of a work-related accident. He’s unable to return to work and needs continued medical and financial support. Workers’ comp can help cover his treatment costs and supplement some of his missed wages through disability benefits.
 

Who Is Covered by Workers’ Comp Coverage?

workers’ compensation coverage Several factors, like specific roles and the size of your business, determine which employees need workers’ compensation coverage. Requirements vary from state to state, but most require workers’ compensation coverage for full-time employees. Some states have laws about workers’ comp for contractors, temps and interns. It’s important you know what your state requires for workers’ comp coverage.
 
Some states don’t require workers’ compensation coverage for:
 
  • Farmhands
  • Insurance agents
  • Family members under a certain age
  • Casual workers
  • Business owners and partners
  • Real estate agents
Federal government employees are also not covered by state-regulated workers’ compensation insurance. Instead, they’re covered by federal workers’ comp. These exceptions do not apply to every state, so you need to understand your state’s workers’ compensation laws.
 
Some states have a minimum number of employees to determine if a business needs workers’ compensation insurance. These states are:
 

How Does the Workers’ Compensation Coverage Claim Process Work?

Workers’ comp claim processes also vary from state to state. However, no matter where you’re located, it’s important to start the claim process as soon as possible after a work-related illness or injury occurs. Knowing the following requirements and insights can help you with this process:
 
  • Make sure your injured or ill employees get immediate medical care.
  • Your employee or their representative should notify you about the work-related injury or illness as soon as possible.
  • You’ll need to contact your workers’ comp provider to submit a claim. You may also need to notify a state-run workers’ comp board.
  • Your insurance company will review the claim and approve or deny benefits.
  • Your employee will get approved benefits and compensation.
Most states have a time limit for when your employee can report a workers’ comp injury to their manager. This is usually between 30 and 90 days.
 
There may also be a time limit for when an employer can report a workers’ comp injury to their insurance company. It’s important you understand how the claims process works in your state, and if there are any statutes of limitations for coverage.
 

How to Select the Right Workers’ Compensation Coverage for Your Business

We’re backed by over 200 years of experience in helping small business owners protect themselves from unexpected risks. At The Hartford, you’ll have access to our claims specialists, who consistently receive top scores for satisfaction.* We also offer flexible billing solutions so you can focus on running your business. Get a quote today and learn more about workers’ comp coverage.
 
 
This article provides general information, and should not be construed as specific legal, HR, financial, insurance, tax or accounting advice. As with all matters of a legal or human resources nature, you should consult with your own legal counsel and human resources professionals. The Hartford shall not be liable for any direct, indirect, special, consequential, incidental, punitive or exemplary damages in connection with the use by you or anyone of the information provided herein.
 
6 Types of Insurance Your Business Needs Now

6 Types of Insurance Your Business Needs Now

Download our FREE guide and in less than a minute we'll help you understand the following:

  • Basic definitions of the essential business insurance coverages.
  • High level understand of the costs of business insurance.
  • How you can get help finding the right coverage at the right price.
The Hartford shall not be liable for any damages in connection with the use of any information provided on this page. Please consult with your insurance agent/broker or insurance company to determine specific coverage needs as this information is intended to be educational in nature.
 
The information contained on this page should not be construed as specific legal, HR, financial, or insurance advice and is not a guarantee of coverage. In the event of a loss or claim, coverage determinations will be subject to the policy language, and any potential claim payment will be determined following a claim investigation.
 
Certain coverages vary by state and may not be available to all businesses. All Hartford coverages and services described on this page may be offered by one or more of the property and casualty insurance company subsidiaries of The Hartford Financial Services Group, Inc. In TX, this insurance is written by Sentinel Insurance Company, Ltd., Hartford Casualty Insurance Company, Hartford Lloyd’s Insurance Company, Property and Casualty Insurance Company of Hartford, Hartford Underwriters Insurance Company, Twin City Fire Insurance Company, Hartford Accident and Indemnity Company and Hartford Fire Insurance Company. In Arizona, New Hampshire, Washington and California, the insurance is underwritten by Hartford Accident and Indemnity Company, Hartford Casualty Insurance Company, Hartford Fire Insurance Company, Hartford Insurance Company of Illinois, Hartford Insurance Company of the Midwest, Hartford Lloyd’s Insurance Company, Hartford Underwriters Insurance Company, Maxum Casualty Insurance Company, Maxum Indemnity Company, Navigators Insurance Company, Navigators Specialty Insurance Company, Pacific Insurance Company, Property and Casualty Insurance Company of Hartford, Sentinel Insurance Company, Ltd., Trumbull Insurance Company and Twin City Fire Insurance Company. The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including Hartford Fire Insurance Company.
 
The Hartford® is The Hartford Financial Services Group, Inc. and its property and casualty subsidiaries, including Hartford Fire Insurance Company. Its headquarters is in Hartford, CT.
 
* Customer reviews are collected and tabulated by The Hartford and not representative of all customers.